| Code | Description | Claims | Beneficiaries | Total Paid |
| 15002 |
|
1,976 |
1,481 |
$222K |
| 15004 |
|
1,279 |
940 |
$207K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,800 |
1,442 |
$114K |
| 15003 |
|
374 |
266 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,871 |
1,437 |
$55K |
| 15274 |
|
205 |
161 |
$48K |
| 15273 |
|
281 |
220 |
$25K |
| 15275 |
|
378 |
283 |
$15K |
| 99253 |
|
147 |
137 |
$12K |
| 99221 |
|
150 |
139 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
331 |
154 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
46 |
45 |
$5K |
| 15271 |
|
164 |
127 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
182 |
145 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$847.03 |