| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,207 |
1,182 |
$52K |
| 95819 |
|
240 |
230 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
265 |
259 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
294 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
194 |
$16K |
| 99254 |
|
109 |
109 |
$9K |
| 99220 |
|
42 |
42 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
16 |
$1K |
| 99219 |
|
14 |
14 |
$910.44 |
| 95816 |
|
18 |
17 |
$591.84 |
| 99252 |
|
14 |
14 |
$464.20 |
| 99072 |
|
73 |
72 |
$40.00 |