| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,019 |
6,120 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,782 |
2,306 |
$154K |
| 99233 |
Prolong inpt eval add15 m |
3,274 |
613 |
$126K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,019 |
911 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
635 |
590 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
374 |
351 |
$39K |
| 90747 |
|
97 |
71 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
514 |
484 |
$12K |
| 90686 |
|
427 |
323 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
94 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
251 |
158 |
$5K |
| 99386 |
|
27 |
25 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
82 |
$1K |
| 90715 |
|
28 |
28 |
$919.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
506 |
401 |
$426.30 |
| G0009 |
Administration of pneumococcal vaccine |
22 |
19 |
$140.80 |