| Code | Description | Claims | Beneficiaries | Total Paid |
| 99254 |
|
4,532 |
4,191 |
$392K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18,666 |
9,349 |
$374K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,115 |
3,806 |
$183K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,077 |
2,927 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
328 |
223 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
125 |
120 |
$4K |
| 99253 |
|
50 |
48 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
30 |
$1K |
| 99072 |
|
13 |
12 |
$0.00 |