| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
4,094 |
4,070 |
$225K |
| 43775 |
|
75 |
75 |
$190K |
| 99205 |
Prolong outpt/office vis |
1,502 |
1,498 |
$121K |
| 43281 |
|
51 |
51 |
$31K |
| 49020 |
|
51 |
51 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
348 |
342 |
$12K |
| 47100 |
|
50 |
50 |
$10K |
| 47562 |
|
12 |
12 |
$6K |
| 43235 |
|
25 |
25 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
32 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$958.82 |
| 99233 |
Prolong inpt eval add15 m |
17 |
17 |
$745.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
30 |
$712.80 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
13 |
$374.20 |