| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,279 |
3,458 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,840 |
4,552 |
$237K |
| 93227 |
|
923 |
251 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
52 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
85 |
25 |
$2K |
| 99220 |
|
30 |
25 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 99490 |
Ccm add 20min |
48 |
41 |
$635.59 |
| 0013A |
|
12 |
12 |
$421.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$384.75 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
30 |
29 |
$377.43 |
| 96127 |
|
26 |
13 |
$365.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$359.38 |
| 82962 |
|
215 |
176 |
$352.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$322.00 |
| 90686 |
|
27 |
27 |
$203.39 |
| 93000 |
|
12 |
12 |
$147.60 |
| 86580 |
|
26 |
26 |
$118.64 |
| 36415 |
Collection of venous blood by venipuncture |
210 |
193 |
$62.24 |
| 81025 |
|
24 |
24 |
$61.92 |