| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,206 |
1,082 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
273 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
384 |
374 |
$16K |
| 99460 |
|
237 |
234 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
89 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$975.72 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
12 |
$667.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
37 |
$602.49 |