| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,157 |
5,731 |
$268K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,296 |
1,210 |
$44K |
| 93000 |
|
449 |
417 |
$9K |
| 99220 |
|
117 |
106 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
93 |
24 |
$5K |
| 90656 |
|
121 |
120 |
$3K |
| 99217 |
|
43 |
42 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
63 |
62 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
47 |
$1K |
| 99443 |
|
151 |
141 |
$863.19 |
| 99225 |
|
13 |
12 |
$660.18 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$641.72 |
| 99442 |
|
104 |
96 |
$478.43 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$354.85 |