| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,544 |
4,720 |
$258K |
| 99233 |
Prolong inpt eval add15 m |
4,979 |
2,312 |
$225K |
| 99223 |
Prolong inpt eval add15 m |
2,477 |
2,043 |
$151K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,228 |
2,246 |
$77K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,046 |
416 |
$75K |
| 94729 |
|
1,493 |
1,327 |
$43K |
| 94727 |
|
1,531 |
1,363 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
304 |
278 |
$25K |
| 94060 |
|
533 |
429 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
406 |
324 |
$12K |
| 94010 |
|
652 |
603 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
320 |
$10K |
| 90688 |
|
222 |
192 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
63 |
$353.22 |
| 90756 |
|
14 |
14 |
$244.66 |
| G0008 |
Administration of influenza virus vaccine |
49 |
39 |
$63.09 |