| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
12,717 |
3,563 |
$437K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,507 |
801 |
$209K |
| 99255 |
|
984 |
898 |
$83K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,692 |
864 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
518 |
449 |
$11K |
| 99245 |
|
63 |
58 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
75 |
$3K |
| 94060 |
|
12 |
12 |
$158.20 |
| 94726 |
|
12 |
12 |
$91.25 |
| 94729 |
|
12 |
12 |
$71.36 |