| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
2,104 |
757 |
$125K |
| 99223 |
Prolong inpt eval add15 m |
808 |
771 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
385 |
385 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
571 |
553 |
$30K |
| 99443 |
|
379 |
368 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
421 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
492 |
202 |
$19K |
| 99442 |
|
363 |
356 |
$17K |
| 99254 |
|
165 |
164 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$865.38 |