| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,203 |
14,270 |
$2.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,740 |
12,159 |
$1.25M |
| 99350 |
Prolong home eval add 15m |
3,730 |
3,462 |
$155K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
525 |
512 |
$23K |
| 90686 |
|
317 |
301 |
$12K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
59 |
26 |
$4K |
| 90674 |
|
111 |
97 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
36 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$999.36 |
| 90461 |
|
13 |
13 |
$559.35 |
| 96127 |
|
15 |
15 |
$122.59 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$112.00 |
| 99441 |
|
37 |
34 |
$92.20 |
| 3008F |
|
99 |
97 |
$30.00 |
| 3074F |
|
39 |
37 |
$0.00 |
| 1159F |
|
85 |
83 |
$0.00 |
| 99072 |
|
108 |
108 |
$0.00 |
| 1160F |
|
34 |
33 |
$0.00 |