| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,196 |
2,099 |
$150K |
| 99233 |
Prolong inpt eval add15 m |
1,453 |
534 |
$121K |
| 99221 |
|
1,551 |
1,514 |
$117K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,100 |
928 |
$116K |
| 99223 |
Prolong inpt eval add15 m |
380 |
377 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
441 |
429 |
$47K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
412 |
409 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
273 |
273 |
$24K |
| 59025 |
Fetal non-stress test |
229 |
142 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
87 |
87 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
199 |
92 |
$6K |
| 99220 |
|
13 |
13 |
$2K |
| 90674 |
|
45 |
45 |
$1K |
| 99219 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
82 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
79 |
$756.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$753.04 |
| 81025 |
|
120 |
118 |
$460.61 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$417.50 |