| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
335 |
327 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
124 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
178 |
58 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$292.32 |
| 99441 |
|
15 |
14 |
$251.21 |
| 83037 |
|
188 |
188 |
$56.47 |
| 82962 |
|
330 |
327 |
$36.74 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$6.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
114 |
110 |
$0.00 |