| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,971 |
979 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
960 |
910 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
193 |
193 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
33 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$958.49 |
| 1159F |
|
209 |
209 |
$0.00 |
| 1160F |
|
235 |
235 |
$0.00 |
| 3078F |
|
80 |
80 |
$0.00 |
| 3008F |
|
98 |
98 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |