| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,175 |
760 |
$87K |
| 99233 |
Prolong inpt eval add15 m |
654 |
223 |
$38K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
251 |
111 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
39 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
27 |
$901.43 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$767.41 |