| Code | Description | Claims | Beneficiaries | Total Paid |
| 99254 |
|
824 |
805 |
$71K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,700 |
1,699 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
801 |
696 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
51 |
51 |
$345.81 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
12 |
$0.00 |