| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
213 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
72 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
34 |
30 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
71 |
43 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
27 |
$585.75 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38 |
27 |
$348.60 |
| 90686 |
|
15 |
14 |
$260.67 |