| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
987 |
269 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
132 |
130 |
$856.79 |
| 99215 |
Prolong outpt/office vis |
53 |
53 |
$743.60 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
458 |
143 |
$721.32 |
| 99233 |
Prolong inpt eval add15 m |
255 |
137 |
$695.26 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
38 |
$241.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
557 |
540 |
$128.48 |
| 80305 |
|
16 |
16 |
$0.00 |