| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,585 |
4,126 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
408 |
402 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
138 |
131 |
$18K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
107 |
101 |
$11K |
| 52000 |
|
50 |
50 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
43 |
30 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35 |
24 |
$2K |
| 99253 |
|
57 |
54 |
$2K |
| 74420 |
|
46 |
42 |
$984.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$317.00 |
| 99024 |
|
44 |
39 |
$0.00 |