| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
2,373 |
1,893 |
$125K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,979 |
1,867 |
$94K |
| 99233 |
Prolong inpt eval add15 m |
2,258 |
868 |
$68K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,390 |
1,153 |
$39K |
| 99220 |
|
405 |
322 |
$19K |
| 99225 |
|
674 |
365 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
197 |
171 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
160 |
91 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
226 |
168 |
$3K |
| 99226 |
|
38 |
30 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
150 |
$586.51 |
| 99219 |
|
17 |
13 |
$519.84 |
| 99215 |
Prolong outpt/office vis |
32 |
28 |
$390.67 |
| 99217 |
|
388 |
308 |
$141.46 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
114 |
$0.00 |
| 99000 |
|
114 |
96 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
81 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 0001A |
|
20 |
20 |
$0.00 |
| 91300 |
|
45 |
39 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
242 |
208 |
$0.00 |
| 99051 |
|
64 |
54 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |