| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
667 |
632 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
712 |
160 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
106 |
101 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
39 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$175.32 |