| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
991 |
292 |
$29K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
52 |
13 |
$5K |
| 93750 |
|
158 |
39 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$734.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
13 |
$345.85 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
48 |
14 |
$298.80 |