| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,772 |
2,303 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,483 |
1,242 |
$59K |
| 99223 |
Prolong inpt eval add15 m |
299 |
288 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
161 |
113 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
43 |
40 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
15 |
12 |
$892.38 |
| 90686 |
|
34 |
34 |
$357.34 |
| 90688 |
|
14 |
14 |
$145.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
55 |
$124.42 |