| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,512 |
2,078 |
$113K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
392 |
369 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
384 |
194 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
66 |
61 |
$9K |
| 94060 |
|
188 |
176 |
$8K |
| 99254 |
|
125 |
111 |
$6K |
| 94729 |
|
126 |
121 |
$5K |
| 94727 |
|
126 |
121 |
$5K |
| 94200 |
|
207 |
191 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$3K |
| 99255 |
|
42 |
42 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
13 |
$433.95 |
| 94375 |
|
14 |
14 |
$341.00 |