| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,708 |
3,194 |
$188K |
| 99215 |
Prolong outpt/office vis |
1,882 |
1,246 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
701 |
605 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
144 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
19 |
$631.38 |
| 99223 |
Prolong inpt eval add15 m |
17 |
12 |
$627.70 |
| T1015 |
Clinic visit/encounter, all-inclusive |
232 |
100 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
14 |
$0.00 |