| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
717 |
709 |
$42K |
| 99223 |
Prolong inpt eval add15 m |
265 |
255 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
272 |
272 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
455 |
269 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
271 |
169 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
257 |
250 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
209 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
52 |
50 |
$3K |