| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,487 |
875 |
$110K |
| 99223 |
Prolong inpt eval add15 m |
875 |
846 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,815 |
1,665 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,300 |
1,219 |
$81K |
| 99233 |
Prolong inpt eval add15 m |
1,143 |
575 |
$76K |
| 99222 |
Initial hospital care, per day, moderate complexity |
111 |
109 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
80 |
80 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
176 |
45 |
$4K |
| 99220 |
|
27 |
27 |
$2K |
| 99253 |
|
25 |
25 |
$2K |
| 90688 |
|
236 |
236 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 93000 |
|
280 |
279 |
$965.01 |
| 99497 |
|
67 |
65 |
$903.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$543.87 |
| G0008 |
Administration of influenza virus vaccine |
170 |
170 |
$83.23 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
46 |
43 |
$0.00 |
| 1159F |
|
365 |
325 |
$0.00 |
| 1160F |
|
212 |
192 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
162 |
160 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
338 |
311 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
270 |
250 |
$0.00 |
| 1123F |
|
34 |
34 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$0.00 |