| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,656 |
496 |
$49K |
| 99253 |
|
69 |
66 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
81 |
31 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
38 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$538.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$530.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$449.91 |
| 1036F |
|
134 |
119 |
$0.00 |