| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
309 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
103 |
98 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
68 |
65 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$740.35 |