| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
351 |
93 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,005 |
728 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
486 |
351 |
$6K |
| 94010 |
|
1,014 |
711 |
$5K |
| 94729 |
|
266 |
186 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
43 |
$1K |
| 94618 |
|
172 |
113 |
$753.61 |
| 94726 |
|
66 |
40 |
$536.32 |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
40 |
$80.74 |
| 99406 |
|
156 |
112 |
$0.00 |