| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,471 |
2,147 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,328 |
2,054 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
422 |
387 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
63 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
42 |
$4K |
| 92551 |
|
607 |
557 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
228 |
203 |
$3K |
| 93000 |
|
295 |
253 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
45 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$2K |
| 90688 |
|
89 |
85 |
$1K |
| 90686 |
|
75 |
66 |
$1K |
| 99173 |
|
618 |
523 |
$252.97 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
12 |
$185.68 |
| 81002 |
|
79 |
72 |
$167.64 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$125.54 |
| 90473 |
|
16 |
12 |
$114.73 |