| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
19,362 |
1,595 |
$406K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
3,535 |
902 |
$176K |
| 99223 |
Prolong inpt eval add15 m |
203 |
190 |
$6K |
| 99215 |
Prolong outpt/office vis |
1,351 |
1,203 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
85 |
82 |
$399.16 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
930 |
719 |
$382.13 |
| 90756 |
|
108 |
102 |
$176.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
111 |
$135.16 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
24 |
22 |
$103.69 |