| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
673 |
490 |
$14K |
| 11043 |
|
1,356 |
488 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,387 |
645 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
393 |
224 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,378 |
664 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
39 |
31 |
$864.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
14 |
$0.00 |
| 11044 |
|
37 |
12 |
$0.00 |