| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,225 |
1,068 |
$44K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,341 |
1,027 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
263 |
232 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
354 |
336 |
$11K |
| 99215 |
Prolong outpt/office vis |
269 |
223 |
$11K |
| 99255 |
|
125 |
117 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
237 |
128 |
$8K |
| 99253 |
|
23 |
19 |
$1K |
| 99254 |
|
13 |
12 |
$866.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$483.36 |
| 99221 |
|
12 |
12 |
$137.30 |