| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,391 |
3,898 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,618 |
2,479 |
$166K |
| 99223 |
Prolong inpt eval add15 m |
301 |
299 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
279 |
159 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
205 |
107 |
$11K |
| 95117 |
|
939 |
534 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
26 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
30 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
356 |
356 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
339 |
339 |
$902.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
93 |
$825.13 |
| 90674 |
|
35 |
35 |
$667.21 |
| 90686 |
|
32 |
32 |
$654.41 |
| 99442 |
|
18 |
17 |
$424.87 |
| 99080 |
|
56 |
54 |
$0.00 |
| 99499 |
|
45 |
44 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
29 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
25 |
25 |
$0.00 |