| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
368 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
627 |
541 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
356 |
71 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
82 |
81 |
$3K |
| 99215 |
Prolong outpt/office vis |
216 |
150 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
58 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
12 |
$944.29 |
| 94060 |
|
12 |
12 |
$45.95 |
| 94729 |
|
12 |
12 |
$43.18 |
| 94726 |
|
12 |
12 |
$42.81 |