| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
954 |
389 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
169 |
$15K |
| 99215 |
Prolong outpt/office vis |
218 |
201 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
24 |
$5K |
| 99497 |
|
329 |
308 |
$4K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$4K |
| 99245 |
|
12 |
12 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
29 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
65 |
41 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
88 |
83 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$404.50 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
12 |
$148.48 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
24 |
24 |
$140.87 |
| 36000 |
|
12 |
12 |
$60.72 |
| 99072 |
|
1,118 |
895 |
$0.00 |