| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,626 |
1,203 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
893 |
638 |
$165K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
646 |
505 |
$59K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
180 |
174 |
$30K |
| 81003 |
|
2,020 |
1,395 |
$29K |
| 81025 |
|
1,101 |
1,015 |
$25K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
216 |
183 |
$22K |
| H0049 |
Alcohol and/or drug screening |
1,620 |
1,218 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
83 |
60 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
33 |
33 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
119 |
95 |
$1K |
| 85027 |
|
30 |
30 |
$960.19 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
24 |
$840.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
42 |
$403.30 |
| 90658 |
|
18 |
15 |
$264.48 |