| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
459 |
394 |
$11K |
| 93970 |
|
224 |
223 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85 |
40 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
73 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$413.35 |
| 99221 |
|
12 |
12 |
$256.77 |