| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,891 |
2,934 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
916 |
814 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,278 |
1,468 |
$55K |
| 52224 |
|
90 |
83 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
180 |
148 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
403 |
183 |
$19K |
| 81000 |
|
6,626 |
4,905 |
$14K |
| 51729 |
|
60 |
54 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
166 |
40 |
$6K |
| 51797 |
|
46 |
42 |
$4K |
| 76872 |
|
210 |
177 |
$4K |
| 51701 |
|
114 |
95 |
$3K |
| 51741 |
|
474 |
370 |
$3K |
| 52000 |
|
83 |
45 |
$3K |
| 51798 |
|
208 |
179 |
$2K |
| 51784 |
|
60 |
54 |
$2K |
| 96402 |
|
14 |
12 |
$136.78 |
| 0509F |
|
14 |
13 |
$0.00 |