| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
984 |
880 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
284 |
284 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
140 |
138 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
94 |
53 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
107 |
75 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$534.06 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
34 |
24 |
$464.75 |
| 97597 |
|
37 |
30 |
$218.92 |