| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,355 |
1,188 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$836.33 |
| 99233 |
Prolong inpt eval add15 m |
59 |
52 |
$825.14 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
27 |
$381.77 |