| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,766 |
12,488 |
$262K |
| 99233 |
Prolong inpt eval add15 m |
5,399 |
2,675 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
1,596 |
$117K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,627 |
1,322 |
$52K |
| 99215 |
Prolong outpt/office vis |
1,343 |
972 |
$34K |
| 77387 |
|
738 |
156 |
$32K |
| 99255 |
|
67 |
59 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
507 |
433 |
$6K |
| 77427 |
|
45 |
24 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
339 |
255 |
$2K |
| 99254 |
|
13 |
13 |
$1K |
| 77300 |
|
15 |
13 |
$884.35 |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
13 |
$840.00 |
| 77263 |
|
16 |
14 |
$793.98 |
| 99443 |
|
38 |
28 |
$365.24 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
12 |
$146.14 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
307 |
222 |
$0.00 |
| 77334 |
|
24 |
13 |
$0.00 |