| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
631 |
599 |
$28K |
| 99215 |
Prolong outpt/office vis |
57 |
44 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
23 |
12 |
$807.44 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
12 |
$570.38 |
| 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) |
14 |
12 |
$116.24 |
| 99152 |
|
15 |
12 |
$85.86 |