| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,209 |
4,174 |
$131K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,105 |
1,059 |
$86K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,930 |
2,903 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,745 |
1,724 |
$78K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
789 |
778 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
254 |
250 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
440 |
440 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
105 |
41 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
71 |
13 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
25 |
$612.39 |
| 70450 |
Computed tomography, head or brain; without contrast material |
70 |
61 |
$563.75 |
| 71045 |
Radiologic examination, chest; single view |
192 |
94 |
$351.20 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$54.50 |