| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
640 |
$34K |
| 99233 |
Prolong inpt eval add15 m |
881 |
252 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
226 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
69 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
288 |
239 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
140 |
26 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
18 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
57 |
47 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$871.40 |
| 99223 |
Prolong inpt eval add15 m |
18 |
13 |
$860.60 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
24 |
$735.66 |