| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
258 |
258 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
193 |
104 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
114 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$3K |
| 93970 |
|
13 |
13 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
50 |
25 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$792.18 |