| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
723 |
223 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
293 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
130 |
118 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
57 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
12 |
$578.65 |