| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
3,888 |
1,454 |
$130K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,003 |
849 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,066 |
874 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
734 |
709 |
$44K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
868 |
818 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
405 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
549 |
241 |
$11K |
| 99253 |
|
12 |
12 |
$371.60 |