| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,643 |
3,310 |
$129K |
| 99223 |
Prolong inpt eval add15 m |
109 |
104 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
223 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
81 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
123 |
120 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
90 |
53 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
140 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
44 |
$2K |
| 90688 |
|
209 |
191 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$699.04 |
| 81002 |
|
13 |
12 |
$31.53 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$23.16 |
| 96160 |
|
16 |
12 |
$14.23 |