| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
393 |
387 |
$29K |
| 99205 |
Prolong outpt/office vis |
308 |
295 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
328 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
452 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
218 |
186 |
$4K |
| 43235 |
|
92 |
79 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
116 |
104 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
274 |
161 |
$2K |
| 99221 |
|
99 |
98 |
$593.58 |
| 43246 |
|
16 |
12 |
$442.33 |