| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,147 |
888 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
885 |
737 |
$73K |
| 99233 |
Prolong inpt eval add15 m |
1,854 |
660 |
$63K |
| 99223 |
Prolong inpt eval add15 m |
820 |
657 |
$60K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
930 |
777 |
$32K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
855 |
262 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,358 |
779 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
820 |
650 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
263 |
232 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
18 |
$1K |
| 87807 |
|
97 |
71 |
$960.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
12 |
$206.01 |
| 81025 |
|
15 |
12 |
$69.81 |
| 85018 |
|
30 |
24 |
$68.44 |
| 81015 |
|
22 |
13 |
$55.02 |