| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
7,618 |
1,527 |
$376K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,353 |
1,254 |
$288K |
| 99223 |
Prolong inpt eval add15 m |
1,290 |
1,071 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,886 |
1,572 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
61 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
25 |
$3K |
| 99215 |
Prolong outpt/office vis |
33 |
25 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$862.16 |