| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,900 |
3,601 |
$288K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
325 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
103 |
43 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$827.68 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$571.10 |
| 99442 |
|
13 |
13 |
$465.66 |
| 95816 |
|
15 |
14 |
$394.26 |
| 99072 |
|
15 |
15 |
$0.00 |