| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,258 |
4,248 |
$290K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,677 |
2,524 |
$143K |
| 99222 |
Initial hospital care, per day, moderate complexity |
702 |
689 |
$62K |
| 19083 |
|
117 |
117 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
137 |
137 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
165 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
63 |
$5K |
| 76641 |
|
130 |
130 |
$3K |
| 46600 |
|
103 |
98 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
50 |
13 |
$800.38 |
| 88331 |
|
12 |
12 |
$573.57 |