| Code | Description | Claims | Beneficiaries | Total Paid |
| 54640 |
|
146 |
122 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
231 |
227 |
$37K |
| 99215 |
Prolong outpt/office vis |
137 |
130 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
623 |
293 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
138 |
$14K |
| 99205 |
Prolong outpt/office vis |
54 |
53 |
$11K |
| 54300 |
|
14 |
14 |
$8K |
| 54161 |
|
26 |
25 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$2K |