| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
970 |
959 |
$24K |
| 93970 |
|
997 |
994 |
$16K |
| 36475 |
|
111 |
109 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
264 |
175 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
170 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
129 |
128 |
$5K |
| 93925 |
|
93 |
92 |
$3K |
| 75716 |
|
115 |
114 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
64 |
$2K |
| 99152 |
|
498 |
483 |
$2K |
| 37252 |
|
63 |
59 |
$1K |
| 75625 |
|
62 |
62 |
$954.37 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$929.27 |
| 36246 |
|
14 |
12 |
$654.75 |
| 93971 |
|
43 |
38 |
$279.62 |
| 1036F |
|
33 |
33 |
$0.00 |