| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,151 |
1,117 |
$163K |
| 99222 |
Initial hospital care, per day, moderate complexity |
490 |
453 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,459 |
1,067 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
1,077 |
268 |
$9K |
| 99356 |
|
94 |
45 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
36 |
$99.50 |
| G8482 |
Influenza immunization administered or previously received |
18 |
17 |
$0.00 |
| 4040F |
|
19 |
18 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
32 |
24 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
59 |
39 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |