| Code | Description | Claims | Beneficiaries | Total Paid |
| 99221 |
|
1,748 |
1,690 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
820 |
803 |
$66K |
| 99223 |
Prolong inpt eval add15 m |
369 |
357 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
837 |
824 |
$46K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
202 |
202 |
$25K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
174 |
173 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
395 |
235 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
109 |
61 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
85 |
56 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
32 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 99307 |
|
14 |
14 |
$280.38 |