| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
584 |
513 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
778 |
606 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
39 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
83 |
20 |
$1K |
| 99215 |
Prolong outpt/office vis |
53 |
17 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
50 |
34 |
$709.02 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
23 |
13 |
$418.71 |
| 80305 |
|
32 |
27 |
$177.26 |
| 99223 |
Prolong inpt eval add15 m |
23 |
13 |
$141.70 |