| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,848 |
2,826 |
$177K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,598 |
1,598 |
$147K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
639 |
259 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
181 |
181 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
63 |
63 |
$6K |
| 63047 |
|
16 |
12 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$758.75 |