| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,293 |
2,894 |
$193K |
| 99233 |
Prolong inpt eval add15 m |
531 |
146 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
605 |
186 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
25 |
$836.83 |
| 91200 |
|
109 |
108 |
$806.38 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$359.80 |