| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,857 |
2,630 |
$124K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,533 |
2,413 |
$90K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,478 |
680 |
$87K |
| 99233 |
Prolong inpt eval add15 m |
2,008 |
1,137 |
$63K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,288 |
1,256 |
$57K |
| 99223 |
Prolong inpt eval add15 m |
755 |
721 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,368 |
1,187 |
$36K |
| 94375 |
|
812 |
778 |
$14K |
| 99215 |
Prolong outpt/office vis |
216 |
202 |
$14K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
192 |
180 |
$11K |
| 94060 |
|
350 |
317 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
104 |
50 |
$3K |
| 99255 |
|
13 |
13 |
$1K |
| 99406 |
|
206 |
192 |
$1K |
| 95811 |
|
15 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$816.93 |
| 90674 |
|
19 |
16 |
$347.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$279.63 |
| 90686 |
|
13 |
12 |
$223.80 |
| 95117 |
|
21 |
13 |
$156.55 |
| 95012 |
|
12 |
12 |
$110.11 |
| 94729 |
|
25 |
25 |
$104.65 |
| 94726 |
|
12 |
12 |
$35.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
26 |
26 |
$0.00 |