| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
80 |
80 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
99 |
99 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
116 |
77 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$1K |
| 99219 |
|
14 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$975.62 |