| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,133 |
21,062 |
$70K |
| 90658 |
|
845 |
841 |
$14K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
778 |
778 |
$13K |
| 90756 |
|
438 |
438 |
$11K |
| 36410 |
|
1,483 |
1,470 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
955 |
176 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,292 |
1,289 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
1,140 |
1,140 |
$615.19 |
| 90662 |
|
1,097 |
1,097 |
$596.96 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
25 |
$452.68 |
| 99222 |
Initial hospital care, per day, moderate complexity |
112 |
104 |
$408.96 |