| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
316 |
$12K |
| 99254 |
|
45 |
45 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
99 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$936.10 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
38 |
$547.80 |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
39 |
$308.40 |
| 99221 |
|
15 |
15 |
$0.00 |