| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,639 |
4,732 |
$419K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
648 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
956 |
855 |
$53K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
386 |
364 |
$47K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
766 |
155 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
131 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
116 |
75 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
65 |
12 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
56 |
$6K |
| 1036F |
|
3,884 |
3,186 |
$6K |
| 96127 |
|
1,219 |
1,052 |
$5K |
| 3074F |
|
3,652 |
3,112 |
$4K |
| 3008F |
|
5,163 |
4,391 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
37 |
$4K |
| 90686 |
|
198 |
191 |
$4K |
| 99406 |
|
264 |
217 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
344 |
309 |
$3K |
| 0011A |
|
70 |
68 |
$3K |
| 0012A |
|
58 |
58 |
$2K |
| 0031A |
|
57 |
56 |
$2K |
| 3075F |
|
717 |
650 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
126 |
$1K |
| 0004A |
|
13 |
13 |
$520.00 |
| 93000 |
|
33 |
32 |
$492.72 |
| 3044F |
|
69 |
63 |
$355.03 |
| 99442 |
|
20 |
14 |
$90.00 |
| 96160 |
|
16 |
12 |
$39.90 |
| 3078F |
|
2,223 |
1,911 |
$4.13 |
| 3079F |
|
2,150 |
1,901 |
$4.12 |
| 91301 |
|
98 |
92 |
$0.66 |
| 3077F |
|
46 |
43 |
$0.00 |
| 91303 |
|
45 |
44 |
$0.00 |
| 1034F |
|
1,345 |
1,107 |
$0.00 |
| 3080F |
|
29 |
28 |
$0.00 |
| 1035F |
|
28 |
25 |
$0.00 |