| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,065 |
903 |
$24K |
| 59514 |
|
109 |
109 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
372 |
305 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
482 |
394 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
100 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
74 |
72 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
40 |
39 |
$1K |
| 88150 |
|
74 |
73 |
$9.20 |