| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
346 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
107 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
40 |
13 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
15 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$875.86 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
24 |
24 |
$188.17 |