| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,320 |
3,276 |
$110K |
| 99233 |
Prolong inpt eval add15 m |
2,240 |
1,146 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
1,057 |
1,033 |
$45K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,464 |
834 |
$25K |
| 95816 |
|
865 |
827 |
$19K |
| 95885 |
|
301 |
299 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
335 |
334 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
359 |
354 |
$11K |
| 95911 |
|
99 |
99 |
$11K |
| 95819 |
|
134 |
131 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$517.50 |