| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99222 |
Initial hospital care, per day, moderate complexity |
658 |
597 |
$57K |
| 99254 |
|
125 |
104 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
143 |
$13K |
| 99221 |
|
141 |
133 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
130 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
43 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
29 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
72 |
$2K |
| 99253 |
|
15 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
12 |
$1K |