| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
87 |
86 |
$3K |
| 99221 |
|
148 |
148 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
126 |
93 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$179.38 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$44.13 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
14 |
$36.61 |