| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,540 |
2,279 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,622 |
1,476 |
$94K |
| 99233 |
Prolong inpt eval add15 m |
1,346 |
334 |
$60K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
711 |
174 |
$18K |
| 36410 |
|
1,082 |
1,067 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
121 |
115 |
$7K |
| 99255 |
|
71 |
69 |
$6K |
| 94664 |
|
420 |
332 |
$5K |
| 94010 |
|
132 |
128 |
$3K |
| 93000 |
|
154 |
154 |
$2K |
| 90686 |
|
59 |
59 |
$815.49 |
| G0008 |
Administration of influenza virus vaccine |
69 |
69 |
$502.93 |
| 90688 |
|
14 |
14 |
$166.10 |
| 94760 |
|
14 |
12 |
$7.17 |