| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,187 |
2,088 |
$103K |
| 99233 |
Prolong inpt eval add15 m |
7,310 |
1,840 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
1,240 |
848 |
$60K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
458 |
247 |
$21K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
181 |
122 |
$13K |
| 90961 |
|
100 |
39 |
$5K |
| 99220 |
|
55 |
39 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
34 |
26 |
$703.36 |