| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
27 |
14 |
$940.57 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
20 |
$767.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$715.23 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$378.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |