| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,806 |
1,670 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,260 |
1,124 |
$40K |
| 99233 |
Prolong inpt eval add15 m |
311 |
159 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
229 |
107 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
26 |
26 |
$814.82 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$554.92 |
| 99226 |
|
30 |
12 |
$470.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
66 |
$462.87 |
| 81003 |
|
14 |
13 |
$11.73 |