| Code | Description | Claims | Beneficiaries | Total Paid |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,639 |
714 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
32 |
32 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
17 |
16 |
$1K |
| 99305 |
|
218 |
214 |
$914.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
49 |
$791.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$739.40 |
| 99221 |
|
48 |
48 |
$606.58 |
| 95911 |
|
25 |
25 |
$371.38 |
| 95886 |
|
26 |
26 |
$295.52 |