| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
318 |
118 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
405 |
143 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
165 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
97 |
49 |
$6K |
| 94060 |
|
24 |
24 |
$827.83 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
24 |
24 |
$9.03 |