| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,035 |
3,057 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,033 |
1,505 |
$46K |
| 99215 |
Prolong outpt/office vis |
756 |
612 |
$31K |
| 99310 |
Prolong nursin fac eval 15m |
1,035 |
748 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
825 |
248 |
$12K |
| 82947 |
|
4,603 |
3,258 |
$7K |
| 94010 |
|
265 |
209 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
65 |
46 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
69 |
51 |
$872.23 |
| 99335 |
|
73 |
56 |
$606.67 |
| 90686 |
|
15 |
14 |
$171.27 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$15.75 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |