| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,343 |
3,500 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,687 |
4,719 |
$168K |
| 99199 |
Unlisted special service, procedure or report |
16,350 |
7,494 |
$90K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,436 |
408 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
679 |
272 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
377 |
344 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
434 |
407 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$1K |
| 0011A |
|
41 |
29 |
$1K |
| 99307 |
|
89 |
84 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
274 |
223 |
$724.74 |
| 99401 |
|
46 |
20 |
$562.50 |
| 0012A |
|
27 |
17 |
$534.69 |
| 0134A |
|
54 |
37 |
$390.00 |
| 99406 |
|
54 |
43 |
$386.88 |
| 99235 |
|
13 |
12 |
$385.03 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$375.13 |
| 99454 |
|
63 |
38 |
$334.44 |
| 99318 |
|
19 |
18 |
$252.24 |
| 99490 |
Ccm add 20min |
19 |
13 |
$234.25 |
| 99457 |
|
15 |
13 |
$120.90 |
| 90756 |
|
50 |
30 |
$105.71 |
| G0008 |
Administration of influenza virus vaccine |
110 |
82 |
$2.76 |
| 3078F |
|
72 |
55 |
$0.00 |
| 91313 |
|
34 |
21 |
$0.00 |
| 91301 |
|
101 |
45 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 3074F |
|
92 |
68 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
40 |
$0.00 |
| 90686 |
|
33 |
26 |
$0.00 |
| 3044F |
|
53 |
39 |
$0.00 |
| 90674 |
|
17 |
16 |
$0.00 |