| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
80 |
66 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
222 |
$910.90 |
| 99233 |
Prolong inpt eval add15 m |
277 |
94 |
$872.04 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$94.32 |
| 99490 |
Ccm add 20min |
17 |
14 |
$51.15 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
36 |
$31.47 |
| G8484 |
Influenza immunization was not administered, reason not given |
35 |
26 |
$0.00 |
| 99439 |
|
16 |
13 |
$0.00 |