| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
792 |
727 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
587 |
545 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
447 |
121 |
$5K |
| 94060 |
|
308 |
298 |
$4K |
| 31622 |
|
50 |
50 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
378 |
361 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
71 |
68 |
$2K |
| 94726 |
|
65 |
62 |
$848.57 |
| 94729 |
|
65 |
62 |
$839.70 |
| 99406 |
|
172 |
154 |
$535.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
174 |
146 |
$422.75 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$387.43 |
| 90756 |
|
56 |
55 |
$246.51 |
| 99407 |
|
50 |
48 |
$237.48 |
| G0008 |
Administration of influenza virus vaccine |
56 |
55 |
$71.31 |
| J1644 |
Injection, heparin sodium, per 1000 units |
83 |
71 |
$1.29 |