| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
808 |
728 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
212 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
71 |
60 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
29 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$558.00 |