| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
559 |
466 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
120 |
87 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,689 |
650 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,531 |
1,195 |
$998.93 |
| 93990 |
|
146 |
94 |
$767.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,310 |
$576.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
50 |
$139.50 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
70 |
28 |
$49.18 |
| 95816 |
|
18 |
12 |
$35.21 |
| 1036F |
|
154 |
135 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
143 |
50 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
38 |
$0.00 |
| 76937 |
|
20 |
13 |
$0.00 |