| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,589 |
4,748 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,970 |
2,613 |
$67K |
| 99215 |
Prolong outpt/office vis |
647 |
543 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
1,048 |
294 |
$34K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
248 |
71 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
269 |
251 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,083 |
267 |
$18K |
| 99205 |
Prolong outpt/office vis |
124 |
115 |
$11K |
| 94726 |
|
737 |
705 |
$7K |
| 94729 |
|
737 |
704 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
127 |
98 |
$5K |
| 94375 |
|
598 |
578 |
$4K |
| 99406 |
|
1,468 |
1,049 |
$2K |
| 94060 |
|
138 |
126 |
$1K |
| 94664 |
|
36 |
32 |
$195.93 |
| 90686 |
|
27 |
25 |
$171.27 |
| 99490 |
Ccm add 20min |
14 |
13 |
$138.73 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,571 |
961 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |