| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,638 |
3,619 |
$180K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,181 |
1,175 |
$83K |
| 99223 |
Prolong inpt eval add15 m |
789 |
781 |
$81K |
| 99215 |
Prolong outpt/office vis |
832 |
825 |
$65K |
| 64615 |
|
490 |
490 |
$31K |
| 95886 |
|
696 |
696 |
$26K |
| 99205 |
Prolong outpt/office vis |
269 |
269 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
585 |
582 |
$20K |
| 99254 |
|
51 |
50 |
$4K |
| 95816 |
|
127 |
127 |
$4K |
| 95819 |
|
107 |
105 |
$3K |
| 95909 |
|
38 |
38 |
$2K |
| 99245 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
47 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$841.17 |
| 99417 |
Prolong home eval add 15m |
13 |
13 |
$249.33 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
336 |
335 |
$216.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$167.44 |
| 3351F |
|
4,060 |
4,038 |
$0.00 |