| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
526 |
513 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
609 |
595 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
258 |
183 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
428 |
357 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
185 |
150 |
$1K |
| 99442 |
|
15 |
15 |
$658.11 |
| 99255 |
|
12 |
12 |
$593.21 |
| 99447 |
|
17 |
15 |
$8.70 |
| 99448 |
|
17 |
15 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |