| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,669 |
1,516 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
589 |
563 |
$52K |
| 99223 |
Prolong inpt eval add15 m |
194 |
190 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
148 |
147 |
$8K |
| 90688 |
|
72 |
72 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
71 |
71 |
$753.77 |
| 99233 |
Prolong inpt eval add15 m |
12 |
12 |
$537.14 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
164 |
$371.85 |