| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,101 |
1,470 |
$558K |
| 99233 |
Prolong inpt eval add15 m |
8,202 |
4,107 |
$436K |
| 99255 |
|
997 |
941 |
$155K |
| 99223 |
Prolong inpt eval add15 m |
1,439 |
1,314 |
$105K |
| 99220 |
|
1,312 |
1,181 |
$104K |
| 99254 |
|
259 |
246 |
$30K |
| 99226 |
|
647 |
438 |
$29K |
| 99292 |
|
331 |
313 |
$23K |
| 95816 |
|
583 |
517 |
$22K |
| 99205 |
Prolong outpt/office vis |
133 |
121 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
155 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
267 |
182 |
$9K |
| 95813 |
|
110 |
104 |
$6K |
| 99215 |
Prolong outpt/office vis |
91 |
62 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
40 |
$2K |
| 99219 |
|
14 |
13 |
$771.76 |
| 95822 |
|
13 |
13 |
$520.17 |
| 1123F |
|
14 |
12 |
$0.00 |