| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
117 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
84 |
76 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
114 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
28 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$839.83 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$807.50 |