| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
6,909 |
4,086 |
$561K |
| 99255 |
|
1,719 |
1,687 |
$393K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,109 |
2,521 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,569 |
1,777 |
$183K |
| 99215 |
Prolong outpt/office vis |
559 |
322 |
$62K |
| 99223 |
Prolong inpt eval add15 m |
207 |
205 |
$21K |
| S9999 |
Sales tax |
61 |
41 |
$655.03 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$624.73 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,571 |
1,546 |
$4.31 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,170 |
721 |
$1.31 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
558 |
368 |
$1.05 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
106 |
66 |
$0.14 |
| 1111F |
|
297 |
169 |
$0.00 |
| 1036F |
|
68 |
41 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
201 |
130 |
$0.00 |