| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
542 |
264 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
289 |
281 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
194 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
61 |
58 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
41 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
31 |
24 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$364.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$117.72 |
| 3008F |
|
14 |
14 |
$0.00 |