| Code | Description | Claims | Beneficiaries | Total Paid |
| 94003 |
|
3,522 |
772 |
$80K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,198 |
696 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
457 |
$33K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,137 |
334 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
150 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
87 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
52 |
50 |
$3K |
| 94060 |
|
184 |
169 |
$2K |
| 94004 |
|
98 |
50 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
36 |
13 |
$2K |
| 94726 |
|
201 |
188 |
$1K |
| 94729 |
|
227 |
215 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$936.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$643.30 |
| 94618 |
|
50 |
47 |
$614.05 |
| 94010 |
|
46 |
42 |
$291.14 |
| 94727 |
|
29 |
29 |
$185.46 |