| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,016 |
765 |
$33K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,288 |
1,527 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
506 |
151 |
$6K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
32 |
12 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
18 |
18 |
$869.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$445.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
19 |
19 |
$193.32 |