| Code | Description | Claims | Beneficiaries | Total Paid |
| 95819 |
|
348 |
314 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
642 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
569 |
214 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
267 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
183 |
147 |
$15K |
| 99254 |
|
71 |
66 |
$9K |
| 95957 |
|
23 |
15 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
43 |
41 |
$5K |
| 95912 |
|
13 |
13 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$2K |
| 99255 |
|
15 |
15 |
$2K |