| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
115 |
40 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
50 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
38 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$605.39 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
53 |
14 |
$280.54 |
| 99221 |
|
19 |
12 |
$34.90 |