| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
154 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
37 |
29 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$770.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$356.61 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
19 |
$303.78 |
| 1036F |
|
124 |
115 |
$0.00 |