| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,878 |
4,252 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,418 |
4,056 |
$221K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
817 |
736 |
$96K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,662 |
468 |
$70K |
| 99000 |
|
1,457 |
1,188 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,727 |
3,211 |
$10K |
| 81003 |
|
2,605 |
2,288 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
91 |
82 |
$9K |
| 82270 |
|
1,844 |
1,681 |
$7K |
| 82962 |
|
1,243 |
944 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
118 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
135 |
116 |
$3K |
| 81025 |
|
535 |
498 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
226 |
40 |
$3K |
| 90686 |
|
210 |
203 |
$2K |
| 96127 |
|
477 |
442 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
111 |
111 |
$2K |
| 90756 |
|
51 |
48 |
$1K |
| 99408 |
|
202 |
180 |
$1K |
| 90674 |
|
34 |
33 |
$958.08 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
301 |
242 |
$447.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
589 |
495 |
$416.55 |
| 99223 |
Prolong inpt eval add15 m |
16 |
16 |
$354.48 |
| 99490 |
Ccm add 20min |
17 |
15 |
$303.48 |
| 99497 |
|
18 |
12 |
$117.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
42 |
$81.37 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
124 |
117 |
$0.00 |