| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
522 |
485 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
79 |
$2K |
| 95874 |
|
82 |
77 |
$2K |
| 96160 |
|
113 |
113 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33 |
13 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$796.37 |
| 95886 |
|
12 |
12 |
$786.31 |
| 64642 |
|
12 |
12 |
$674.74 |
| 20610 |
|
26 |
25 |
$605.76 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
85 |
81 |
$231.45 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
12 |
12 |
$199.86 |