| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,555 |
2,189 |
$257K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
238 |
238 |
$34K |
| 99442 |
|
224 |
210 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
180 |
62 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90 |
79 |
$7K |
| 99443 |
|
29 |
28 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
26 |
18 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$988.46 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$838.64 |