| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,366 |
3,252 |
$215K |
| 95819 |
|
1,084 |
1,068 |
$175K |
| 95911 |
|
412 |
364 |
$51K |
| 95886 |
|
413 |
366 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
183 |
174 |
$19K |
| 93886 |
|
91 |
80 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
275 |
51 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
96 |
61 |
$5K |
| 99215 |
Prolong outpt/office vis |
47 |
47 |
$5K |
| 99205 |
Prolong outpt/office vis |
38 |
38 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
112 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |