| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
4,258 |
4,060 |
$225K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,612 |
771 |
$76K |
| 99233 |
Prolong inpt eval add15 m |
1,813 |
949 |
$66K |
| 99215 |
Prolong outpt/office vis |
1,285 |
1,244 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
413 |
$14K |
| 90658 |
|
138 |
129 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
434 |
421 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
31 |
31 |
$354.26 |
| 90688 |
|
13 |
13 |
$101.36 |
| 1159F |
|
62 |
62 |
$20.00 |
| 3008F |
|
1,945 |
1,837 |
$17.00 |
| 3074F |
|
919 |
881 |
$6.00 |
| 3078F |
|
1,067 |
1,024 |
$4.50 |
| 3079F |
|
146 |
145 |
$1.50 |
| 3075F |
|
84 |
84 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
103 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
58 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 3077F |
|
110 |
107 |
$0.00 |