| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,599 |
3,326 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,992 |
2,715 |
$88K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,848 |
4,532 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,350 |
1,295 |
$64K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
549 |
414 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
129 |
94 |
$4K |
| 99442 |
|
259 |
236 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
207 |
202 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
130 |
115 |
$2K |
| 90674 |
|
100 |
94 |
$2K |
| 90686 |
|
100 |
100 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
31 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 99307 |
|
131 |
112 |
$742.90 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$585.00 |
| 93000 |
|
14 |
12 |
$169.45 |
| 99305 |
|
14 |
13 |
$36.12 |
| 90694 |
|
50 |
47 |
$30.52 |
| G0008 |
Administration of influenza virus vaccine |
61 |
57 |
$10.38 |
| 99490 |
Ccm add 20min |
24 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |