| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,040 |
1,032 |
$77K |
| 99222 |
Initial hospital care, per day, moderate complexity |
386 |
381 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
443 |
301 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
169 |
167 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
79 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145 |
138 |
$7K |
| 36471 |
|
41 |
40 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
50 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
21 |
14 |
$669.79 |