| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,296 |
1,281 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
606 |
598 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
147 |
$21K |
| 94060 |
|
131 |
131 |
$5K |
| 94729 |
|
114 |
114 |
$5K |
| 94727 |
|
127 |
127 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
46 |
45 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
59 |
29 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
78 |
43 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 94760 |
|
614 |
605 |
$1K |