| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,347 |
10,034 |
$611K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,863 |
6,704 |
$527K |
| 99233 |
Prolong inpt eval add15 m |
1,412 |
367 |
$74K |
| 99223 |
Prolong inpt eval add15 m |
700 |
616 |
$74K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,284 |
628 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
542 |
494 |
$21K |
| 99442 |
|
684 |
547 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
24 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
82 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
57 |
$620.62 |
| 0011A |
|
17 |
17 |
$600.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
89 |
$570.00 |
| 36415 |
Collection of venous blood by venipuncture |
340 |
294 |
$522.00 |
| 0012A |
|
16 |
15 |
$480.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
20 |
$314.20 |
| 90674 |
|
13 |
13 |
$207.00 |
| 3008F |
|
110 |
108 |
$0.00 |
| 91301 |
|
51 |
30 |
$0.00 |