| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,829 |
3,589 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
813 |
773 |
$51K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
96 |
42 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
38 |
14 |
$4K |
| 90686 |
|
206 |
205 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99462 |
|
17 |
16 |
$386.76 |
| 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) |
95 |
89 |
$331.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$310.75 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$150.15 |
| 92551 |
|
17 |
17 |
$67.69 |
| 99173 |
|
15 |
15 |
$19.77 |
| 90656 |
|
56 |
56 |
$0.00 |
| 3008F |
|
176 |
170 |
$0.00 |