| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,303 |
417 |
$60K |
| 99223 |
Prolong inpt eval add15 m |
326 |
290 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
241 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
65 |
$2K |
| 31645 |
|
14 |
12 |
$1K |
| 31624 |
|
15 |
13 |
$592.87 |
| 99406 |
|
12 |
12 |
$78.02 |
| 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) |
28 |
28 |
$0.00 |