| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,170 |
4,023 |
$309K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,768 |
978 |
$214K |
| 99222 |
Initial hospital care, per day, moderate complexity |
668 |
635 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
250 |
$23K |
| 99401 |
|
150 |
125 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
18 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
124 |
42 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 3074F |
|
171 |
137 |
$145.00 |
| 3078F |
|
146 |
120 |
$105.00 |
| 3079F |
|
30 |
28 |
$20.00 |
| 3006F |
|
46 |
38 |
$0.01 |
| 3008F |
|
217 |
177 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |