| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,012 |
738 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
959 |
827 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
384 |
347 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
775 |
744 |
$5K |
| 99307 |
|
774 |
724 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
258 |
134 |
$847.37 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
59 |
28 |
$431.85 |
| 83037 |
|
65 |
50 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |