| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,218 |
1,350 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
714 |
570 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
544 |
189 |
$35K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
504 |
227 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
284 |
198 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
118 |
61 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
54 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
51 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
122 |
111 |
$3K |