| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,922 |
4,062 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,927 |
3,244 |
$166K |
| 99233 |
Prolong inpt eval add15 m |
674 |
357 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
196 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
157 |
130 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
94 |
49 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
28 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 99385 |
|
12 |
12 |
$998.64 |
| 93000 |
|
88 |
83 |
$979.16 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$30.00 |
| 96127 |
|
21 |
20 |
$0.18 |