| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,157 |
1,119 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
504 |
500 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
364 |
$27K |
| 93922 |
|
611 |
605 |
$21K |
| 93925 |
|
130 |
130 |
$13K |
| 93978 |
|
98 |
98 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
72 |
66 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
180 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
85 |
82 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
24 |
$3K |
| 93971 |
|
25 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$504.00 |
| 76937 |
|
29 |
27 |
$459.04 |
| 99152 |
|
16 |
15 |
$386.36 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
16 |
$156.96 |