| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,800 |
4,057 |
$218K |
| 99199 |
Unlisted special service, procedure or report |
19,049 |
12,394 |
$118K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,314 |
1,477 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,185 |
1,022 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
419 |
360 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
38 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
62 |
44 |
$804.17 |
| 99223 |
Prolong inpt eval add15 m |
19 |
16 |
$369.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
71 |
53 |
$238.80 |
| 90674 |
|
109 |
86 |
$207.63 |
| 99406 |
|
13 |
13 |
$92.56 |
| G0008 |
Administration of influenza virus vaccine |
57 |
46 |
$0.00 |