| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,515 |
417 |
$62K |
| 99223 |
Prolong inpt eval add15 m |
213 |
177 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
82 |
14 |
$5K |
| 90962 |
|
55 |
52 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
75 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85 |
38 |
$2K |
| 90937 |
|
21 |
14 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
77 |
66 |
$0.00 |