| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,435 |
1,341 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
575 |
554 |
$52K |
| 99223 |
Prolong inpt eval add15 m |
238 |
226 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
711 |
187 |
$36K |
| 95816 |
|
124 |
105 |
$19K |
| 99205 |
Prolong outpt/office vis |
100 |
98 |
$15K |
| 95886 |
|
30 |
28 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99255 |
|
12 |
12 |
$2K |
| 99245 |
|
14 |
13 |
$1K |