| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
191 |
177 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
68 |
55 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
96 |
74 |
$3K |
| 99221 |
|
94 |
90 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
38 |
38 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$4.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
16 |
$3.00 |
| 2001F |
|
34 |
34 |
$0.00 |
| 2010F |
|
85 |
65 |
$0.00 |