| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,749 |
3,613 |
$226K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,963 |
1,908 |
$176K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,663 |
1,641 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,417 |
1,321 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
938 |
932 |
$90K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,272 |
1,216 |
$74K |
| 99477 |
|
71 |
70 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
165 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
90 |
88 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
75 |
$7K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$3K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
26 |
12 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
12 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
17 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$845.78 |
| 99188 |
|
13 |
13 |
$183.17 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
33 |
27 |
$182.26 |