| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,021 |
4,811 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,546 |
2,390 |
$91K |
| 62323 |
|
347 |
347 |
$73K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
950 |
217 |
$34K |
| 20553 |
|
438 |
431 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
254 |
239 |
$19K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
291 |
281 |
$18K |
| 77002 |
|
545 |
203 |
$18K |
| 77003 |
|
425 |
416 |
$14K |
| 20610 |
|
151 |
90 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
104 |
$6K |