| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
442 |
429 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,329 |
1,246 |
$13K |
| 99215 |
Prolong outpt/office vis |
633 |
591 |
$9K |
| 64615 |
|
145 |
124 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351 |
334 |
$4K |
| 99205 |
Prolong outpt/office vis |
52 |
51 |
$4K |
| 95886 |
|
13 |
12 |
$870.08 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
14 |
14 |
$765.54 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35 |
24 |
$667.25 |
| 95812 |
|
28 |
28 |
$427.21 |