| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
17,061 |
4,528 |
$772K |
| 99215 |
Prolong outpt/office vis |
3,246 |
3,191 |
$332K |
| 99223 |
Prolong inpt eval add15 m |
2,997 |
2,831 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,866 |
3,795 |
$207K |
| 99205 |
Prolong outpt/office vis |
852 |
852 |
$112K |
| 93990 |
|
1,588 |
1,577 |
$93K |
| 93970 |
|
727 |
719 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
838 |
837 |
$82K |
| 93923 |
|
478 |
475 |
$43K |
| 76937 |
|
644 |
572 |
$21K |
| 93880 |
|
205 |
205 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
156 |
$7K |
| 99152 |
|
303 |
262 |
$3K |
| 47563 |
|
12 |
12 |
$3K |
| 93925 |
|
53 |
53 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
78 |
73 |
$2K |
| 99401 |
|
110 |
107 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$691.23 |
| 99358 |
Prolong nursin fac eval 15m |
16 |
16 |
$337.60 |
| 82962 |
|
44 |
44 |
$294.04 |