| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,826 |
1,808 |
$100K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
491 |
163 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
354 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
127 |
122 |
$15K |
| 95251 |
|
249 |
249 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$596.80 |