| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
913 |
862 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,083 |
2,788 |
$38K |
| 99223 |
Prolong inpt eval add15 m |
332 |
316 |
$35K |
| 93922 |
|
510 |
451 |
$18K |
| 93990 |
|
608 |
578 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
336 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
455 |
411 |
$3K |
| 99221 |
|
120 |
117 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
89 |
56 |
$1K |
| 93926 |
|
27 |
24 |
$1K |