| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,300 |
4,596 |
$65K |
| 99223 |
Prolong inpt eval add15 m |
686 |
537 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
452 |
314 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
182 |
78 |
$8K |
| 99215 |
Prolong outpt/office vis |
138 |
120 |
$2K |
| 64483 |
|
17 |
12 |
$579.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$506.84 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
12 |
$399.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
68 |
$195.20 |
| 99152 |
|
49 |
43 |
$39.68 |