| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,225 |
1,086 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
546 |
504 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
246 |
74 |
$7K |
| 99215 |
Prolong outpt/office vis |
85 |
79 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
74 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
91 |
$4K |
| 94729 |
|
322 |
307 |
$3K |
| 94726 |
|
304 |
292 |
$3K |
| 94060 |
|
284 |
272 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37 |
14 |
$519.96 |
| 99223 |
Prolong inpt eval add15 m |
24 |
16 |
$502.16 |
| 90688 |
|
33 |
30 |
$385.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
26 |
$326.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$248.30 |
| 99406 |
|
33 |
30 |
$179.60 |
| 94010 |
|
15 |
14 |
$8.49 |