| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
922 |
355 |
$12K |
| 99201 |
|
70 |
69 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
96 |
$1K |
| 94060 |
|
116 |
115 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
47 |
$809.94 |
| 94726 |
|
96 |
95 |
$458.01 |
| 94729 |
|
96 |
95 |
$306.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$208.00 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$138.00 |