| Code | Description | Claims | Beneficiaries | Total Paid |
| 99238 |
Hospital discharge day management, 30 minutes or less |
420 |
414 |
$18K |
| 99460 |
|
197 |
192 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
61 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
97 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36 |
25 |
$2K |
| 99462 |
|
48 |
40 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
23 |
14 |
$691.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
83 |
74 |
$684.46 |