| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
542 |
532 |
$26K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
134 |
134 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
126 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
48 |
32 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
39 |
$1K |