| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,745 |
3,744 |
$293K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,625 |
2,563 |
$142K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,238 |
1,128 |
$97K |
| 99223 |
Prolong inpt eval add15 m |
949 |
949 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,354 |
1,338 |
$42K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
771 |
768 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,052 |
1,052 |
$26K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
29 |
29 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
28 |
$706.57 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
49 |
12 |
$692.13 |