| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,208 |
1,021 |
$73K |
| 99233 |
Prolong inpt eval add15 m |
430 |
201 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
172 |
168 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
91 |
85 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
21 |
$941.34 |
| 90686 |
|
38 |
24 |
$643.32 |
| 80053 |
Comprehensive metabolic panel |
33 |
26 |
$331.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
34 |
30 |
$195.30 |