| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,509 |
3,359 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
187 |
187 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,065 |
1,034 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
837 |
566 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
275 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
66 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$696.92 |
| 97597 |
|
178 |
134 |
$651.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
45 |
$244.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$22.01 |
| 94726 |
|
13 |
13 |
$14.82 |
| 94729 |
|
13 |
13 |
$10.92 |