| Code | Description | Claims | Beneficiaries | Total Paid |
| 99254 |
|
1,157 |
1,122 |
$83K |
| 99233 |
Prolong inpt eval add15 m |
406 |
298 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
619 |
585 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
697 |
680 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
445 |
361 |
$16K |
| 99221 |
|
191 |
186 |
$15K |
| 95957 |
|
91 |
89 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
179 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
52 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
38 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$3K |
| 93041 |
|
160 |
153 |
$1K |