| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
842 |
711 |
$85K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,281 |
569 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
604 |
$33K |
| 99252 |
|
643 |
598 |
$26K |
| 99233 |
Prolong inpt eval add15 m |
166 |
50 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
54 |
49 |
$3K |
| 99441 |
|
40 |
39 |
$432.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$232.00 |
| 94060 |
|
12 |
12 |
$133.00 |