| Code | Description | Claims | Beneficiaries | Total Paid |
| 99454 |
|
331 |
314 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
311 |
182 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
91 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
93 |
91 |
$1K |
| 99457 |
|
171 |
171 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
125 |
$898.04 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
40 |
27 |
$780.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
43 |
$315.40 |
| 99000 |
|
48 |
47 |
$18.11 |
| 99001 |
|
52 |
52 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$0.00 |