| Code | Description | Claims | Beneficiaries | Total Paid |
| 99205 |
Prolong outpt/office vis |
2,026 |
1,977 |
$396K |
| 99215 |
Prolong outpt/office vis |
1,356 |
1,295 |
$276K |
| 99221 |
|
3,148 |
2,900 |
$61K |
| 0510 |
|
1,817 |
1,639 |
$44K |
| 0516 |
|
1,476 |
1,300 |
$38K |
| 0761 |
|
890 |
816 |
$21K |
| 0760 |
|
337 |
312 |
$6K |
| G0378 |
Hospital observation service, per hour |
135 |
125 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
587 |
553 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$369.39 |
| 4450F |
|
816 |
777 |
$338.47 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
64 |
61 |
$125.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$48.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$42.31 |
| 81025 |
|
14 |
13 |
$22.45 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
30 |
21 |
$0.00 |