| Code | Description | Claims | Bene. Records | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
579 |
291 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
346 |
343 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
162 |
161 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
191 |
185 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
63 |
62 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$868.29 |