| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,285 |
1,820 |
$38K |
| 99223 |
Prolong inpt eval add15 m |
49 |
42 |
$5K |
| 99219 |
|
50 |
40 |
$4K |
| 99226 |
|
57 |
41 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| 95816 |
|
46 |
37 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
31 |
27 |
$1K |
| 99220 |
|
16 |
12 |
$720.17 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
74 |
38 |
$393.96 |
| 99233 |
Prolong inpt eval add15 m |
59 |
24 |
$130.70 |