| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,652 |
2,472 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
896 |
834 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
413 |
247 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,031 |
711 |
$14K |
| G0008 |
Administration of influenza virus vaccine |
180 |
177 |
$983.38 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
19 |
17 |
$767.47 |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$678.14 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$571.11 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
64 |
64 |
$567.08 |
| 90674 |
|
28 |
27 |
$331.10 |
| 90686 |
|
44 |
42 |
$287.18 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |