| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,392 |
286 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
790 |
767 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
136 |
130 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
206 |
205 |
$24K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
122 |
121 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
92 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
12 |
$3K |