| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
145 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
212 |
110 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
55 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
143 |
129 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
197 |
85 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$690.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
31 |
$659.40 |
| 81002 |
|
16 |
12 |
$41.60 |