| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
428 |
342 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
320 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
32 |
28 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
111 |
39 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33 |
14 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
22 |
$850.51 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$810.63 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$686.44 |
| 71045 |
Radiologic examination, chest; single view |
131 |
102 |
$571.24 |
| 96127 |
|
235 |
190 |
$119.43 |
| 70450 |
Computed tomography, head or brain; without contrast material |
19 |
17 |
$94.71 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
13 |
$83.88 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
15 |
$34.80 |
| 81003 |
|
19 |
14 |
$13.37 |
| 36415 |
Collection of venous blood by venipuncture |
278 |
193 |
$3.00 |