| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
889 |
224 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,632 |
2,399 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
80 |
75 |
$2K |
| 94664 |
|
1,296 |
1,182 |
$605.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
140 |
$196.07 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
191 |
$143.71 |
| 94016 |
|
176 |
176 |
$1.04 |
| 94060 |
|
164 |
164 |
$0.00 |
| 94729 |
|
163 |
163 |
$0.00 |
| 94727 |
|
164 |
164 |
$0.00 |
| 99072 |
|
24 |
22 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
41 |
12 |
$0.00 |
| 99407 |
|
59 |
55 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |