| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,627 |
4,247 |
$273K |
| 99233 |
Prolong inpt eval add15 m |
3,329 |
1,143 |
$167K |
| 99223 |
Prolong inpt eval add15 m |
1,708 |
1,563 |
$162K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,391 |
1,426 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,603 |
2,371 |
$108K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,281 |
1,183 |
$43K |
| 99215 |
Prolong outpt/office vis |
309 |
290 |
$23K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
457 |
423 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
148 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
290 |
259 |
$13K |
| 99220 |
|
137 |
132 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
154 |
134 |
$8K |
| 99217 |
|
198 |
193 |
$7K |
| 90686 |
|
389 |
380 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
768 |
751 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
77 |
74 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
52 |
52 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$926.00 |
| 90632 |
|
19 |
18 |
$887.43 |
| 96127 |
|
260 |
186 |
$735.66 |
| 99307 |
|
21 |
21 |
$678.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
55 |
55 |
$497.35 |
| 90715 |
|
17 |
16 |
$464.40 |
| 93000 |
|
52 |
52 |
$448.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
36 |
$404.28 |
| 81002 |
|
59 |
55 |
$108.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$98.23 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
73 |
70 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
23 |
$0.00 |