| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
464 |
437 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
91 |
37 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
67 |
$2K |
| 94726 |
|
94 |
92 |
$553.10 |
| 94729 |
|
96 |
94 |
$410.04 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$174.16 |
| 94060 |
|
14 |
14 |
$133.24 |
| 94010 |
|
12 |
12 |
$65.40 |