| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,044 |
1,992 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
69 |
69 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,933 |
4,622 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
41 |
41 |
$8K |
| 93000 |
|
458 |
453 |
$4K |
| 90686 |
|
252 |
251 |
$3K |
| 36410 |
|
2,457 |
2,436 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
183 |
45 |
$1K |
| 3008F |
|
5,488 |
5,277 |
$1K |
| 90630 |
|
71 |
71 |
$795.80 |
| 99000 |
|
2,072 |
2,026 |
$744.67 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
86 |
$625.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
423 |
417 |
$475.57 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
17 |
17 |
$430.74 |
| 3079F |
|
709 |
693 |
$371.15 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
253 |
249 |
$182.31 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
37 |
$97.75 |
| 85018 |
|
70 |
70 |
$96.15 |
| 3074F |
|
546 |
538 |
$95.14 |
| 92560 |
|
45 |
45 |
$89.13 |
| 92015 |
Determination of refractive state |
71 |
71 |
$68.79 |
| 3044F |
|
204 |
194 |
$37.82 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$15.00 |
| 3075F |
|
56 |
54 |
$11.50 |
| 3077F |
|
239 |
234 |
$6.53 |
| 3078F |
|
547 |
541 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
13 |
13 |
$0.00 |
| 3045F |
|
30 |
28 |
$0.00 |
| 88150 |
|
18 |
18 |
$0.00 |