| Code | Description | Claims | Beneficiaries | Total Paid |
| 99238 |
Hospital discharge day management, 30 minutes or less |
426 |
378 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
172 |
158 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
252 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
55 |
54 |
$1K |
| 90696 |
|
30 |
30 |
$0.00 |
| 90716 |
|
64 |
62 |
$0.00 |
| 90688 |
|
23 |
23 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90670 |
|
60 |
59 |
$0.00 |
| 90648 |
|
42 |
42 |
$0.00 |
| 90707 |
|
65 |
63 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |