| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
893 |
830 |
$132K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,857 |
551 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,342 |
7,937 |
$32K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
739 |
609 |
$17K |
| 90756 |
|
111 |
109 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
131 |
130 |
$849.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
16 |
$366.50 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
25 |
$365.70 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
173 |
$175.84 |
| 82948 |
|
159 |
147 |
$36.94 |
| 99000 |
|
101 |
100 |
$6.86 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
99 |
$0.00 |