| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,569 |
1,757 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,425 |
1,223 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
834 |
747 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,026 |
924 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
442 |
425 |
$2K |
| 99220 |
|
75 |
56 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,031 |
2,390 |
$808.16 |
| 99217 |
|
60 |
40 |
$507.51 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
379 |
204 |
$52.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
475 |
353 |
$42.98 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
363 |
244 |
$42.79 |
| 99401 |
|
846 |
531 |
$21.52 |
| 80305 |
|
1,309 |
1,050 |
$9.96 |
| 96127 |
|
78 |
31 |
$6.28 |
| 81003 |
|
317 |
262 |
$2.94 |
| 3008F |
|
814 |
526 |
$0.00 |
| 1125F |
|
155 |
110 |
$0.00 |
| 93922 |
|
35 |
30 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
683 |
357 |
$0.00 |
| 90698 |
|
246 |
163 |
$0.00 |
| 90744 |
|
148 |
95 |
$0.00 |
| 94010 |
|
16 |
14 |
$0.00 |
| 93000 |
|
31 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
45 |
$0.00 |
| 90474 |
|
71 |
31 |
$0.00 |
| 90680 |
|
221 |
140 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
124 |
94 |
$0.00 |
| 3080F |
|
238 |
171 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
24 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
26 |
$0.00 |
| 94760 |
|
22 |
13 |
$0.00 |
| 3079F |
|
18 |
15 |
$0.00 |
| 99381 |
|
14 |
14 |
$0.00 |
| 3077F |
|
288 |
200 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
139 |
134 |
$0.00 |
| 90461 |
|
227 |
140 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
172 |
105 |
$0.00 |
| 90670 |
|
269 |
179 |
$0.00 |
| 82947 |
|
981 |
794 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
124 |
94 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
106 |
33 |
$0.00 |
| 81025 |
|
55 |
43 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
24 |
$0.00 |