| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,417 |
3,821 |
$357K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,923 |
812 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
391 |
330 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
61 |
58 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
71 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
241 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,830 |
1,585 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
32 |
30 |
$3K |
| 80053 |
Comprehensive metabolic panel |
61 |
54 |
$529.94 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
12 |
$265.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
12 |
$265.00 |
| 86580 |
|
18 |
18 |
$264.78 |
| 90686 |
|
34 |
30 |
$174.49 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$112.70 |
| 81001 |
|
24 |
13 |
$15.68 |