| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
405 |
398 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
126 |
126 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
132 |
119 |
$7K |
| 99335 |
|
278 |
244 |
$6K |
| 99356 |
|
105 |
100 |
$3K |
| 99334 |
|
317 |
234 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
229 |
194 |
$2K |
| 99336 |
|
118 |
101 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
53 |
49 |
$995.50 |
| 99348 |
|
16 |
13 |
$653.88 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$432.36 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
14 |
$326.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
79 |
$126.50 |
| 99406 |
|
142 |
140 |
$0.00 |