| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,108 |
2,076 |
$26K |
| 99233 |
Prolong inpt eval add15 m |
484 |
114 |
$12K |
| 99205 |
Prolong outpt/office vis |
150 |
150 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
278 |
42 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
37 |
$2K |
| 3074F |
|
2,224 |
2,171 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,166 |
1,112 |
$972.75 |
| 99307 |
|
26 |
12 |
$261.15 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$40.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
13 |
13 |
$40.00 |
| 3075F |
|
484 |
475 |
$24.00 |
| 3008F |
|
3,322 |
3,238 |
$0.00 |
| 3079F |
|
487 |
485 |
$0.00 |
| 3078F |
|
2,371 |
2,312 |
$0.00 |
| 3077F |
|
26 |
26 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |