| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,524 |
1,293 |
$40K |
| 36902 |
|
71 |
66 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
621 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
174 |
145 |
$4K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
170 |
165 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
106 |
78 |
$2K |
| 99458 |
|
117 |
98 |
$995.46 |
| 99457 |
|
136 |
114 |
$831.09 |
| 99152 |
|
89 |
82 |
$822.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
103 |
$619.36 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$437.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
39 |
$271.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$235.00 |
| 99454 |
|
16 |
13 |
$132.09 |
| 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) |
14 |
14 |
$22.96 |