| Code | Description | Claims | Bene. Records | Total Paid |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
634 |
157 |
$12K |
| 99253 |
|
152 |
152 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
413 |
396 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
92 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
172 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
27 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
25 |
$533.61 |
| 90688 |
|
18 |
18 |
$289.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$218.50 |
| 99401 |
|
29 |
28 |
$120.26 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
46 |
$85.86 |
| 99407 |
|
13 |
13 |
$46.68 |