| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,037 |
897 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
53 |
$7K |
| 99221 |
|
86 |
75 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
44 |
44 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
44 |
32 |
$784.08 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$749.07 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
19 |
$709.67 |