| Code | Description | Claims | Beneficiaries | Total Paid |
| 15002 |
|
1,287 |
636 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,125 |
1,747 |
$103K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,196 |
853 |
$99K |
| 15003 |
|
536 |
231 |
$40K |
| 15004 |
|
370 |
164 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
895 |
581 |
$27K |
| 99222 |
Initial hospital care, per day, moderate complexity |
346 |
308 |
$22K |
| 15274 |
|
208 |
121 |
$19K |
| 15273 |
|
250 |
128 |
$17K |
| 15271 |
|
137 |
88 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
103 |
$4K |
| 99221 |
|
74 |
70 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$1K |
| 99253 |
|
17 |
16 |
$945.68 |
| 15275 |
|
34 |
24 |
$765.09 |