| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
2,694 |
2,684 |
$159K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,367 |
1,511 |
$156K |
| 90832 |
Psychotherapy, 30 minutes with patient |
470 |
226 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
253 |
102 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
180 |
178 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
112 |
47 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
64 |
62 |
$5K |
| 99217 |
|
55 |
55 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
50 |
$2K |
| 99219 |
|
29 |
29 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$746.48 |
| 99225 |
|
15 |
13 |
$620.69 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$385.67 |
| 94010 |
|
14 |
14 |
$144.84 |