| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,486 |
6,349 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,947 |
3,511 |
$216K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
244 |
223 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
986 |
240 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
66 |
56 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
82 |
$2K |
| 93000 |
|
73 |
66 |
$1K |
| 82947 |
|
493 |
432 |
$974.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
485 |
209 |
$916.22 |
| 90688 |
|
49 |
37 |
$552.60 |
| 83037 |
|
30 |
28 |
$29.60 |
| G0008 |
Administration of influenza virus vaccine |
19 |
16 |
$0.00 |