| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,051 |
1,570 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,524 |
1,854 |
$74K |
| 99223 |
Prolong inpt eval add15 m |
250 |
220 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
298 |
156 |
$7K |
| 99490 |
Ccm add 20min |
1,503 |
1,190 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
82 |
68 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
782 |
642 |
$905.09 |
| 99233 |
Prolong inpt eval add15 m |
19 |
12 |
$740.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$10.20 |
| 3008F |
|
474 |
304 |
$0.00 |
| 1159F |
|
140 |
115 |
$0.00 |
| 1160F |
|
127 |
103 |
$0.00 |