| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,319 |
5,655 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,038 |
1,914 |
$55K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,741 |
626 |
$36K |
| 99347 |
|
808 |
417 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,883 |
2,810 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
527 |
497 |
$18K |
| 99348 |
|
381 |
253 |
$17K |
| 99349 |
|
211 |
149 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,388 |
1,330 |
$15K |
| 99444 |
|
241 |
85 |
$14K |
| 99335 |
|
303 |
164 |
$13K |
| 99344 |
|
115 |
114 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
352 |
318 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
101 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
86 |
$5K |
| 99336 |
|
76 |
69 |
$5K |
| 99326 |
|
57 |
57 |
$3K |
| 99305 |
|
283 |
280 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$3K |
| 99422 |
|
1,626 |
402 |
$3K |
| 99342 |
|
31 |
29 |
$2K |
| 99421 |
|
218 |
64 |
$1K |
| 99307 |
|
358 |
356 |
$910.53 |
| 90656 |
|
66 |
66 |
$639.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
47 |
$480.76 |
| 90756 |
|
46 |
45 |
$281.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$229.83 |
| 99325 |
|
12 |
12 |
$158.56 |
| 99457 |
|
45 |
44 |
$94.26 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
768 |
758 |
$0.00 |
| 86580 |
|
53 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
48 |
48 |
$0.00 |