| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
141 |
$838.51 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
28 |
$729.81 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
20 |
$260.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
89 |
$63.60 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$48.07 |