| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
5,520 |
1,938 |
$353K |
| 99233 |
Prolong inpt eval add15 m |
6,446 |
2,233 |
$169K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
793 |
290 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
191 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$942.06 |
| 94375 |
|
36 |
35 |
$334.75 |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$237.90 |