| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,395 |
12,750 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,183 |
2,154 |
$7K |
| 90688 |
|
644 |
642 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
37 |
36 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,918 |
2,854 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
200 |
199 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
55 |
55 |
$781.58 |
| 99336 |
|
14 |
12 |
$721.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
67 |
$703.48 |
| 90686 |
|
104 |
104 |
$551.04 |
| 81002 |
|
315 |
265 |
$337.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$70.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$30.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |