| Code | Description | Claims | Beneficiaries | Total Paid |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
282 |
173 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
129 |
121 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
146 |
133 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
350 |
342 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$161.74 |