| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
404 |
362 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
160 |
107 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
775 |
680 |
$12K |
| 99255 |
|
169 |
139 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
70 |
48 |
$2K |
| 99221 |
|
63 |
59 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$2K |
| 49084 |
|
13 |
13 |
$25.28 |