| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,137 |
718 |
$72K |
| 99222 |
Initial hospital care, per day, moderate complexity |
975 |
878 |
$37K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
753 |
693 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
781 |
747 |
$13K |
| 99490 |
Ccm add 20min |
1,479 |
1,468 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
123 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
12 |
$292.81 |
| 90756 |
|
22 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
43 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 90688 |
|
23 |
22 |
$0.00 |