| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
80 |
78 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
21 |
16 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
75 |
57 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$642.33 |
| 99253 |
|
13 |
13 |
$571.35 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
12 |
$518.00 |