| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,829 |
3,095 |
$186K |
| 95816 |
|
728 |
579 |
$55K |
| 99233 |
Prolong inpt eval add15 m |
905 |
371 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,033 |
755 |
$22K |
| 99254 |
|
75 |
68 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
90 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
66 |
56 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
64 |
13 |
$2K |
| 99221 |
|
12 |
12 |
$816.14 |