| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
513 |
214 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
655 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
689 |
432 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
622 |
299 |
$15K |
| 95806 |
|
95 |
95 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
60 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
17 |
15 |
$988.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$879.72 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$637.90 |
| 95811 |
|
13 |
13 |
$512.14 |