| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,116 |
3,317 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,154 |
2,519 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
986 |
884 |
$85K |
| 94010 |
|
638 |
573 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
239 |
112 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
76 |
50 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
130 |
114 |
$2K |
| 90756 |
|
38 |
24 |
$231.49 |
| 99406 |
|
13 |
13 |
$93.86 |