| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,147 |
3,882 |
$177K |
| 59410 |
|
12 |
12 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
65 |
42 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
168 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
37 |
32 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| 99221 |
|
14 |
13 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
14 |
$0.00 |