| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
746 |
719 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
642 |
615 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
347 |
341 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
52 |
$3K |
| 90686 |
|
569 |
551 |
$3K |
| 90723 |
|
113 |
112 |
$3K |
| 90670 |
|
228 |
226 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$539.10 |
| 90680 |
|
96 |
95 |
$506.37 |
| 0072A |
|
13 |
13 |
$480.00 |
| 92551 |
|
13 |
13 |
$398.60 |
| 90647 |
|
43 |
43 |
$229.47 |