| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
163 |
85 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
192 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
67 |
38 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
28 |
25 |
$2K |
| 99255 |
|
12 |
12 |
$1K |
| 99254 |
|
13 |
12 |
$863.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$668.58 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$296.50 |