| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,931 |
1,225 |
$56K |
| 99219 |
|
682 |
678 |
$33K |
| 99220 |
|
477 |
473 |
$29K |
| 43775 |
|
28 |
28 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
144 |
$6K |
| 99217 |
|
211 |
210 |
$6K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
64 |
64 |
$3K |
| 43235 |
|
26 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
52 |
41 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$1K |
| 99460 |
|
13 |
13 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
27 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$762.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$706.21 |
| 90658 |
|
14 |
14 |
$227.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$162.44 |