| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,890 |
2,544 |
$79K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
700 |
172 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
148 |
130 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
101 |
$4K |
| 90686 |
|
51 |
50 |
$582.70 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
13 |
$181.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$154.71 |
| 99233 |
Prolong inpt eval add15 m |
15 |
13 |
$153.39 |