| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,071 |
319 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
180 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
288 |
115 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
257 |
189 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
76 |
49 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$790.13 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42 |
42 |
$741.92 |
| 99460 |
|
15 |
15 |
$577.40 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
13 |
$310.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$162.30 |
| 1160F |
|
14 |
14 |
$0.00 |
| 3288F |
|
38 |
37 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |