| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
1,221 |
989 |
$71K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,611 |
708 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
768 |
674 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,009 |
871 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
760 |
682 |
$24K |
| 99255 |
|
133 |
125 |
$12K |
| 47563 |
|
29 |
28 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
129 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
174 |
$4K |
| 51702 |
|
247 |
116 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
33 |
$959.81 |
| 99072 |
|
14 |
13 |
$0.00 |
| 1036F |
|
114 |
105 |
$0.00 |