| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,407 |
2,221 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,094 |
708 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
453 |
323 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
204 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
107 |
75 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
317 |
125 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
145 |
$2K |
| 81003 |
|
937 |
577 |
$1K |
| 99220 |
|
14 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
286 |
189 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
80 |
27 |
$607.96 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$269.46 |
| 20610 |
|
35 |
15 |
$159.53 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
84 |
41 |
$53.39 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$35.82 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
13 |
$0.10 |
| 81002 |
|
111 |
72 |
$0.00 |
| 59025 |
Fetal non-stress test |
35 |
12 |
$0.00 |