| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
771 |
700 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
243 |
189 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
163 |
67 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
83 |
$2K |
| 94010 |
|
41 |
19 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$704.85 |
| 99305 |
|
18 |
18 |
$216.60 |
| 94727 |
|
28 |
28 |
$194.48 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
48 |
40 |
$189.10 |
| 94060 |
|
12 |
12 |
$139.56 |
| 94729 |
|
15 |
15 |
$77.84 |