| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,764 |
1,703 |
$96K |
| 99233 |
Prolong inpt eval add15 m |
634 |
254 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
155 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
82 |
82 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
233 |
230 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
70 |
69 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$3K |
| 90686 |
|
331 |
331 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
27 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33 |
19 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
441 |
435 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$852.75 |
| 0071A |
|
15 |
15 |
$834.00 |
| 96160 |
|
126 |
119 |
$97.98 |
| 96127 |
|
20 |
12 |
$62.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| 1159F |
|
85 |
83 |
$0.00 |
| 3016F |
|
62 |
62 |
$0.00 |
| 3078F |
|
42 |
42 |
$0.00 |
| 1036F |
|
612 |
593 |
$0.00 |
| 94760 |
|
148 |
146 |
$0.00 |
| 2000F |
|
60 |
60 |
$0.00 |
| 4290F |
|
62 |
62 |
$0.00 |
| 3008F |
|
17 |
16 |
$0.00 |
| 3074F |
|
57 |
57 |
$0.00 |