| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,405 |
2,765 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
272 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
528 |
118 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
108 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
27 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
35 |
29 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
30 |
$973.17 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$260.17 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$256.80 |
| 99442 |
|
15 |
12 |
$194.13 |
| 99233 |
Prolong inpt eval add15 m |
13 |
12 |
$180.21 |