| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
634 |
601 |
$26K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,451 |
1,099 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,192 |
2,954 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,764 |
2,567 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
108 |
99 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
55 |
50 |
$4K |
| 99307 |
|
349 |
349 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
239 |
40 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$499.73 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$355.86 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$108.80 |
| 99235 |
|
81 |
75 |
$102.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$70.44 |
| 3078F |
|
1,551 |
1,402 |
$0.00 |
| 3077F |
|
513 |
487 |
$0.00 |
| 99442 |
|
102 |
96 |
$0.00 |
| 0521F |
|
113 |
106 |
$0.00 |
| 1159F |
|
107 |
98 |
$0.00 |
| 1160F |
|
68 |
63 |
$0.00 |
| 3079F |
|
980 |
931 |
$0.00 |
| 1000F |
|
437 |
385 |
$0.00 |
| 3074F |
|
1,724 |
1,559 |
$0.00 |
| 3008F |
|
2,672 |
2,362 |
$0.00 |
| 1036F |
|
476 |
418 |
$0.00 |
| 1111F |
|
28 |
26 |
$0.00 |
| 3075F |
|
361 |
349 |
$0.00 |
| 99441 |
|
87 |
82 |
$0.00 |
| 3080F |
|
73 |
71 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
22 |
$0.00 |