| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
668 |
636 |
$39K |
| 99223 |
Prolong inpt eval add15 m |
92 |
90 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
106 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
111 |
29 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
55 |
44 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$3K |
| 93000 |
|
205 |
196 |
$3K |
| 95921 |
|
14 |
14 |
$689.50 |