| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
3,399 |
1,413 |
$218K |
| 99223 |
Prolong inpt eval add15 m |
1,601 |
1,550 |
$171K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,922 |
927 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,539 |
1,418 |
$91K |
| 95819 |
|
520 |
495 |
$17K |
| 99220 |
|
195 |
192 |
$17K |
| 99215 |
Prolong outpt/office vis |
117 |
107 |
$10K |
| 95886 |
|
57 |
54 |
$5K |
| 95816 |
|
56 |
56 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
19 |
18 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
41 |
$2K |
| 95911 |
|
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |