| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,004 |
960 |
$76K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
329 |
103 |
$49K |
| 99233 |
Prolong inpt eval add15 m |
168 |
68 |
$9K |
| 94010 |
|
599 |
563 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
98 |
47 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$624.53 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$399.60 |
| 94060 |
|
15 |
15 |
$153.11 |