| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,285 |
1,124 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
705 |
566 |
$55K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
478 |
82 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
441 |
375 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28 |
26 |
$1K |
| 90674 |
|
12 |
12 |
$288.60 |
| 90756 |
|
16 |
12 |
$277.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$254.40 |
| G0008 |
Administration of influenza virus vaccine |
32 |
28 |
$145.71 |
| 90694 |
|
17 |
13 |
$120.37 |
| 96127 |
|
16 |
12 |
$51.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$0.00 |