| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,028 |
905 |
$57K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
343 |
283 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
84 |
84 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
159 |
150 |
$9K |
| 80305 |
|
340 |
304 |
$3K |
| 90658 |
|
38 |
38 |
$493.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$319.06 |
| 96160 |
|
60 |
60 |
$196.72 |
| 94760 |
|
14 |
12 |
$1.48 |