| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
617 |
587 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
208 |
208 |
$33K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
36 |
12 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
69 |
69 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
30 |
13 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
22 |
$2K |
| 99072 |
|
738 |
699 |
$732.65 |