| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,045 |
1,044 |
$45K |
| 99222 |
Initial hospital care, per day, moderate complexity |
576 |
569 |
$36K |
| 47562 |
|
110 |
110 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
446 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
43 |
41 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$220.36 |