| Code | Description | Claims | Beneficiaries | Total Paid |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
565 |
$232.04 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$31.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
45 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
98 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
104 |
104 |
$0.00 |