| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
971 |
737 |
$58K |
| 90961 |
|
472 |
459 |
$57K |
| 99233 |
Prolong inpt eval add15 m |
420 |
236 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
121 |
118 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
118 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
13 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
31 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$355.00 |