| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,162 |
619 |
$62K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,559 |
681 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
373 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$987.86 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$946.88 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
21 |
14 |
$461.79 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$0.00 |