| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,336 |
1,127 |
$77K |
| 99233 |
Prolong inpt eval add15 m |
1,163 |
360 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
138 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
136 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
106 |
86 |
$5K |
| 94727 |
|
43 |
39 |
$268.40 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
18 |
$199.20 |
| 94729 |
|
17 |
13 |
$86.16 |