| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
246 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
698 |
182 |
$11K |
| 95886 |
|
191 |
180 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
100 |
70 |
$4K |
| 64483 |
|
85 |
82 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
83 |
49 |
$892.19 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$403.39 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
15 |
$294.55 |
| 80305 |
|
15 |
15 |
$80.80 |