| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
306 |
292 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
265 |
265 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
79 |
75 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58 |
24 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$5K |
| 51798 |
|
14 |
12 |
$113.14 |