| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,023 |
1,638 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,093 |
899 |
$51K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
241 |
50 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
89 |
34 |
$1K |
| 92552 |
|
51 |
40 |
$602.15 |
| 90674 |
|
33 |
31 |
$440.28 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
51 |
$401.96 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
14 |
$324.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$123.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
12 |
$94.20 |
| 94760 |
|
73 |
66 |
$86.81 |
| 99173 |
|
141 |
89 |
$37.75 |