| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,712 |
507 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
944 |
925 |
$57K |
| 99223 |
Prolong inpt eval add15 m |
168 |
156 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
119 |
$11K |
| 94060 |
|
283 |
270 |
$6K |
| 94729 |
|
297 |
283 |
$6K |
| 94727 |
|
298 |
284 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
36 |
36 |
$3K |
| 3074F |
|
572 |
567 |
$0.01 |
| 3078F |
|
664 |
659 |
$0.01 |
| G8432 |
Depression screening not documented, reason not given |
239 |
236 |
$0.00 |
| 3079F |
|
32 |
32 |
$0.00 |
| 3075F |
|
32 |
32 |
$0.00 |