| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,240 |
1,082 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
707 |
237 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,018 |
462 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
164 |
$7K |
| 99254 |
|
41 |
39 |
$3K |
| 82962 |
|
262 |
229 |
$418.12 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
14 |
$279.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
21 |
13 |
$119.70 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
12 |
$64.50 |
| 3074F |
|
13 |
12 |
$0.00 |