| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
3,176 |
749 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,067 |
295 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
614 |
478 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
623 |
377 |
$12K |
| 95819 |
|
1,149 |
420 |
$11K |
| 95816 |
|
320 |
141 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
19 |
$396.91 |
| 99254 |
|
37 |
33 |
$0.00 |