| Code | Description | Claims | Bene. Records | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
782 |
396 |
$33K |
| 95806 |
|
407 |
404 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
334 |
330 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
244 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
84 |
78 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
100 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
25 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
25 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$604.34 |
| 95811 |
|
14 |
14 |
$544.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
42 |
$479.29 |
| 94060 |
|
13 |
13 |
$131.23 |
| 94726 |
|
16 |
16 |
$112.20 |
| 94729 |
|
16 |
16 |
$83.40 |