| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
191 |
175 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
197 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
321 |
$828.52 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
12 |
$362.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 1170F |
|
15 |
13 |
$0.00 |
| 90674 |
|
36 |
36 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
30 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
30 |
25 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
95 |
88 |
$0.00 |