| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,583 |
575 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
358 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
294 |
110 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
188 |
187 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
65 |
65 |
$7K |
| 94726 |
|
25 |
25 |
$681.77 |
| 94729 |
|
25 |
25 |
$676.07 |
| 94060 |
|
26 |
26 |
$504.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$431.37 |