| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
159 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$690.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$611.93 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35 |
29 |
$496.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$456.09 |