| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,481 |
4,132 |
$367K |
| 99233 |
Prolong inpt eval add15 m |
2,794 |
1,210 |
$101K |
| 99223 |
Prolong inpt eval add15 m |
989 |
893 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,127 |
895 |
$51K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,030 |
947 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
181 |
$14K |
| 99199 |
Unlisted special service, procedure or report |
1,925 |
1,550 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
99 |
72 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
31 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
113 |
94 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
72 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
43 |
$1K |
| 99497 |
|
134 |
124 |
$986.98 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
12 |
$858.52 |
| 90670 |
|
13 |
12 |
$0.00 |