| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,768 |
5,574 |
$252K |
| 99205 |
Prolong outpt/office vis |
979 |
979 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,554 |
2,488 |
$150K |
| 99233 |
Prolong inpt eval add15 m |
2,160 |
871 |
$81K |
| 99223 |
Prolong inpt eval add15 m |
840 |
813 |
$67K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,392 |
934 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
42 |
$768.77 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28 |
27 |
$518.63 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
30 |
$470.29 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$434.29 |
| 94060 |
|
29 |
29 |
$253.07 |
| 90653 |
|
32 |
32 |
$0.00 |
| 90694 |
|
83 |
83 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |