| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,442 |
4,532 |
$231K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,072 |
4,181 |
$225K |
| 90674 |
|
685 |
541 |
$10K |
| 99490 |
Ccm add 20min |
918 |
664 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
49 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$4K |
| 99215 |
Prolong outpt/office vis |
41 |
39 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
12 |
$2K |
| 93000 |
|
301 |
257 |
$2K |
| 82962 |
|
1,340 |
1,143 |
$2K |
| 0003A |
|
58 |
51 |
$2K |
| 91320 |
|
17 |
17 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
375 |
332 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
49 |
25 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
21 |
15 |
$953.27 |
| 94010 |
|
38 |
27 |
$194.07 |
| 90480 |
|
17 |
17 |
$122.00 |
| G0008 |
Administration of influenza virus vaccine |
109 |
75 |
$102.30 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
17 |
$5.12 |
| 91300 |
|
84 |
75 |
$0.60 |
| 1126F |
|
48 |
42 |
$0.00 |