| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,676 |
3,625 |
$323K |
| 99233 |
Prolong inpt eval add15 m |
2,902 |
1,157 |
$191K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,097 |
901 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
516 |
511 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
360 |
351 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
508 |
493 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
91 |
$5K |
| 90961 |
|
27 |
27 |
$3K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
13 |
13 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
261 |
258 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
41 |
41 |
$455.84 |