| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,454 |
1,242 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
392 |
342 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
141 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
393 |
175 |
$9K |
| 95816 |
|
213 |
195 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
72 |
70 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
45 |
16 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
23 |
12 |
$2K |