| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,375 |
1,264 |
$21K |
| 99336 |
|
285 |
285 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
426 |
$8K |
| 0124A |
|
20 |
20 |
$800.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
29 |
29 |
$720.00 |
| 0004A |
|
17 |
17 |
$680.00 |
| 3008F |
|
513 |
498 |
$595.00 |
| 99337 |
|
13 |
13 |
$494.91 |
| 0031A |
|
13 |
12 |
$480.00 |
| 90686 |
|
24 |
24 |
$468.82 |
| 99000 |
|
392 |
360 |
$434.58 |
| 93000 |
|
39 |
39 |
$421.78 |
| 36410 |
|
251 |
245 |
$383.19 |
| 90630 |
|
25 |
25 |
$355.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
13 |
$291.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35 |
14 |
$238.12 |
| 86580 |
|
21 |
21 |
$48.32 |