| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,836 |
6,318 |
$314K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,127 |
2,571 |
$258K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,257 |
1,183 |
$96K |
| 99233 |
Prolong inpt eval add15 m |
968 |
443 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
595 |
553 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
339 |
291 |
$37K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
518 |
464 |
$34K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
592 |
528 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
216 |
215 |
$3K |
| 90686 |
|
103 |
102 |
$2K |
| 97803 |
|
139 |
117 |
$997.00 |
| 90682 |
|
16 |
16 |
$675.54 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$478.79 |
| 99442 |
|
13 |
13 |
$270.57 |
| 97802 |
|
50 |
47 |
$229.60 |
| 96127 |
|
26 |
24 |
$96.84 |
| 3074F |
|
2,281 |
1,900 |
$0.00 |
| 3044F |
|
727 |
614 |
$0.00 |
| 3008F |
|
785 |
660 |
$0.00 |
| 3075F |
|
87 |
79 |
$0.00 |
| 3079F |
|
283 |
237 |
$0.00 |
| 3078F |
|
2,106 |
1,762 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |