| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,108 |
4,893 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,279 |
1,226 |
$43K |
| Z1034 |
|
202 |
119 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
28 |
27 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
112 |
$3K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
106 |
56 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
161 |
158 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
44 |
28 |
$613.72 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$315.00 |
| 99386 |
|
12 |
12 |
$270.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$187.50 |