| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
309 |
135 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
139 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
76 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
50 |
50 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
57 |
56 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
58 |
57 |
$443.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
59 |
$265.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$165.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$32.80 |
| 81002 |
|
14 |
13 |
$18.00 |
| 1111F |
|
39 |
37 |
$0.00 |