| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
1,567 |
1,380 |
$310K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
209 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
208 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
74 |
65 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
184 |
$15K |
| 99449 |
|
122 |
102 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$10K |
| 99451 |
|
195 |
180 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
232 |
211 |
$7K |
| 99417 |
Prolong home eval add 15m |
125 |
118 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$1K |
| 87109 |
|
28 |
24 |
$532.00 |
| 81000 |
|
104 |
63 |
$418.08 |
| 87210 |
|
27 |
27 |
$157.14 |