| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,141 |
920 |
$72K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
278 |
81 |
$38K |
| 99223 |
Prolong inpt eval add15 m |
432 |
388 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
459 |
391 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
226 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
181 |
90 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
205 |
185 |
$12K |
| 99219 |
|
49 |
47 |
$7K |
| 99220 |
|
82 |
78 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
124 |
104 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
123 |
39 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$703.36 |
| 95819 |
|
14 |
12 |
$484.98 |
| 92134 |
|
24 |
24 |
$319.63 |