| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,175 |
1,087 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,740 |
687 |
$24K |
| 99222 |
Initial hospital care, per day, moderate complexity |
109 |
104 |
$4K |
| 94726 |
|
111 |
107 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
63 |
$957.96 |
| 94729 |
|
98 |
95 |
$935.13 |
| 99442 |
|
34 |
25 |
$518.79 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
172 |
155 |
$420.88 |
| 90686 |
|
12 |
12 |
$118.44 |
| 94010 |
|
14 |
14 |
$66.99 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$62.41 |