| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,595 |
3,482 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,473 |
1,336 |
$66K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
258 |
243 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,998 |
2,573 |
$13K |
| 96127 |
|
1,124 |
1,106 |
$3K |
| 90674 |
|
121 |
120 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$2K |
| 99401 |
|
86 |
83 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
189 |
$2K |
| 90686 |
|
76 |
75 |
$1K |
| 90688 |
|
57 |
57 |
$1K |
| 91320 |
|
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
287 |
285 |
$843.02 |
| 90661 |
|
31 |
31 |
$773.85 |
| 90656 |
|
61 |
61 |
$771.03 |
| 0124A |
|
33 |
32 |
$562.95 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$344.23 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
13 |
$326.48 |
| 99406 |
|
75 |
73 |
$322.05 |
| G0008 |
Administration of influenza virus vaccine |
148 |
143 |
$301.00 |
| 90480 |
|
12 |
12 |
$294.00 |
| 93016 |
|
14 |
14 |
$171.73 |
| 94060 |
|
26 |
26 |
$161.26 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
96 |
96 |
$153.08 |
| 93018 |
|
14 |
14 |
$113.49 |
| 94729 |
|
13 |
13 |
$51.50 |
| 3044F |
|
14 |
14 |
$0.00 |