| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
322 |
295 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
705 |
111 |
$18K |
| 99490 |
Ccm add 20min |
1,212 |
1,209 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,588 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
964 |
174 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
156 |
156 |
$2K |
| 90686 |
|
16 |
16 |
$173.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$64.46 |