| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
509 |
322 |
$851.95 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
142 |
39 |
$418.89 |
| 99233 |
Prolong inpt eval add15 m |
88 |
13 |
$332.70 |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$261.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
44 |
$167.72 |
| 99222 |
Initial hospital care, per day, moderate complexity |
20 |
19 |
$0.00 |