| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
271 |
260 |
$8K |
| 99220 |
|
208 |
195 |
$7K |
| 99217 |
|
395 |
352 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
515 |
298 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
195 |
189 |
$4K |
| 99235 |
|
59 |
56 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
79 |
75 |
$3K |
| 99219 |
|
80 |
68 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$294.06 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
24 |
$267.57 |
| 99225 |
|
13 |
12 |
$158.61 |