| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,548 |
5,502 |
$519K |
| 99233 |
Prolong inpt eval add15 m |
520 |
226 |
$47K |
| 99222 |
Initial hospital care, per day, moderate complexity |
359 |
355 |
$44K |
| 94060 |
|
2,026 |
2,002 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
142 |
142 |
$21K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
99 |
50 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
301 |
169 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
269 |
$16K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
29 |
12 |
$11K |
| 99215 |
Prolong outpt/office vis |
59 |
58 |
$8K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$3K |
| 94010 |
|
233 |
231 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$206.35 |