| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
716 |
713 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216 |
213 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
148 |
47 |
$737.41 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$539.99 |
| 99441 |
|
14 |
14 |
$103.55 |
| 83037 |
|
255 |
255 |
$10.79 |
| 82962 |
|
303 |
302 |
$6.56 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 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) |
105 |
103 |
$0.00 |