| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
551 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
147 |
98 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
83 |
83 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
58 |
$827.19 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
36 |
20 |
$278.18 |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$168.67 |
| 1126F |
|
189 |
187 |
$0.00 |
| 3008F |
|
222 |
220 |
$0.00 |
| 1036F |
|
81 |
80 |
$0.00 |
| 1159F |
|
189 |
186 |
$0.00 |
| 1160F |
|
189 |
186 |
$0.00 |