| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,253 |
$96K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
344 |
66 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
62 |
52 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
37 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
28 |
24 |
$1K |
| 90756 |
|
39 |
31 |
$908.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$892.03 |
| 96127 |
|
21 |
13 |
$184.38 |
| 3008F |
|
124 |
113 |
$0.00 |
| 1036F |
|
55 |
52 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
17 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 1160F |
|
173 |
153 |
$0.00 |
| 1159F |
|
78 |
67 |
$0.00 |