| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,205 |
1,104 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
679 |
$61K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
353 |
195 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
28 |
$1K |
| 90688 |
|
31 |
31 |
$483.26 |
| 99233 |
Prolong inpt eval add15 m |
18 |
13 |
$421.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44 |
44 |
$368.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$174.09 |