| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
516 |
516 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
274 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
72 |
38 |
$5K |
| 41010 |
|
41 |
41 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
36 |
$4K |
| 41115 |
|
14 |
14 |
$2K |