| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
186 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
49 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$946.05 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
14 |
$914.11 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
12 |
$827.26 |
| 51798 |
|
49 |
47 |
$432.15 |