| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,169 |
986 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
41 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
12 |
$907.63 |
| 99233 |
Prolong inpt eval add15 m |
25 |
13 |
$902.09 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$727.25 |