| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
291 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
250 |
245 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
378 |
220 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
165 |
119 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
47 |
45 |
$2K |
| 99221 |
|
14 |
14 |
$398.23 |