| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
1,063 |
1,062 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,197 |
1,176 |
$68K |
| 99233 |
Prolong inpt eval add15 m |
284 |
100 |
$23K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
156 |
68 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
475 |
467 |
$19K |
| 99205 |
Prolong outpt/office vis |
54 |
54 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
104 |
42 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
29 |
29 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
69 |
68 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
17 |
16 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
103 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
36 |
15 |
$882.98 |
| 93750 |
|
39 |
18 |
$790.36 |