| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
72 |
40 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
34 |
26 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
90 |
45 |
$3K |
| 99254 |
|
27 |
25 |
$2K |
| 99253 |
|
28 |
28 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
30 |
$999.30 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$704.88 |
| 80053 |
Comprehensive metabolic panel |
45 |
41 |
$465.64 |
| 85027 |
|
42 |
39 |
$240.78 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$229.88 |