| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,954 |
3,866 |
$161K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
692 |
672 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
382 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
349 |
222 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
63 |
61 |
$955.67 |
| 99441 |
|
13 |
13 |
$35.15 |
| 99221 |
|
24 |
24 |
$0.00 |