| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
914 |
901 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
643 |
643 |
$35K |
| 99253 |
|
706 |
702 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,334 |
1,313 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
129 |
121 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
25 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
114 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
98 |
$2K |
| 11750 |
|
19 |
12 |
$628.92 |