| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
482 |
425 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
126 |
122 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
79 |
50 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$924.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
20 |
$917.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
14 |
$889.02 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
48 |
$164.70 |