| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
241 |
230 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
718 |
709 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
261 |
157 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
165 |
$2K |
| 99490 |
Ccm add 20min |
85 |
85 |
$839.50 |
| 93000 |
|
16 |
16 |
$137.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
19 |
$136.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |