| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,058 |
1,817 |
$74K |
| 95811 |
|
623 |
584 |
$31K |
| 99215 |
Prolong outpt/office vis |
808 |
709 |
$31K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
205 |
150 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
590 |
433 |
$13K |
| 99245 |
|
87 |
51 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
160 |
153 |
$3K |
| 99255 |
|
29 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
44 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61 |
54 |
$821.70 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$534.45 |
| 95819 |
|
60 |
57 |
$303.68 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
40 |
40 |
$44.59 |