| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,221 |
1,206 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
532 |
532 |
$57K |
| 95886 |
|
68 |
68 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
53 |
42 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
56 |
$3K |
| 95887 |
|
39 |
39 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$334.92 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
35 |
35 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
45 |
45 |
$0.00 |