| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,213 |
4,856 |
$321K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
532 |
200 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
107 |
107 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
36 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
25 |
$1K |
| 90674 |
|
27 |
27 |
$712.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$202.44 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
19 |
$0.00 |
| 3078F |
|
35 |
35 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
26 |
26 |
$0.00 |
| 3074F |
|
26 |
26 |
$0.00 |