| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
62 |
55 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
550 |
347 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
632 |
532 |
$813.59 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
12 |
$298.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
41 |
$74.64 |
| 81003 |
|
487 |
417 |
$0.00 |
| 81002 |
|
350 |
316 |
$0.00 |
| 51798 |
|
468 |
423 |
$0.00 |
| 87088 |
|
14 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$0.00 |