| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
414 |
321 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
146 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
84 |
25 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
93 |
29 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
47 |
37 |
$3K |
| 99349 |
|
17 |
15 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$998.76 |
| 96127 |
|
34 |
30 |
$439.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$146.26 |