| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
334 |
334 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
206 |
206 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
232 |
167 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
285 |
193 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
51 |
51 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
117 |
115 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
13 |
$734.94 |
| 99460 |
|
12 |
12 |
$611.76 |
| G9920 |
Screening performed and negative |
74 |
74 |
$608.65 |