| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
5,945 |
5,908 |
$272K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,374 |
1,371 |
$79K |
| 95816 |
|
433 |
433 |
$36K |
| 95886 |
|
550 |
545 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,375 |
1,375 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
760 |
$23K |
| 99205 |
Prolong outpt/office vis |
434 |
431 |
$22K |
| 95911 |
|
255 |
253 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
771 |
764 |
$13K |
| 95811 |
|
39 |
39 |
$8K |
| 95913 |
|
51 |
51 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
95 |
40 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 95806 |
|
68 |
67 |
$365.98 |
| 99422 |
|
12 |
12 |
$25.02 |