| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
238 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
79 |
37 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
130 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$524.69 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$462.12 |
| 99223 |
Prolong inpt eval add15 m |
22 |
18 |
$0.00 |