| Code | Description | Claims | Beneficiaries | Total Paid |
| 90962 |
|
252 |
172 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
422 |
141 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
545 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
37 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
483 |
379 |
$2K |
| 99490 |
Ccm add 20min |
999 |
625 |
$1K |
| 99439 |
|
80 |
54 |
$256.05 |
| 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) |
105 |
91 |
$3.59 |