| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
567 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
424 |
368 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
37 |
12 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
15 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$1K |
| 90686 |
|
54 |
40 |
$1K |
| 80305 |
|
50 |
41 |
$413.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
12 |
$0.00 |