| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,646 |
3,241 |
$180K |
| 99223 |
Prolong inpt eval add15 m |
1,423 |
1,353 |
$130K |
| 99219 |
|
532 |
500 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
109 |
$4K |
| 99220 |
|
42 |
42 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
188 |
161 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
90 |
$3K |
| 99221 |
|
89 |
81 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
26 |
25 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$796.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$560.40 |