| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
470 |
351 |
$52K |
| 99222 |
Initial hospital care, per day, moderate complexity |
338 |
303 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
156 |
91 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
416 |
352 |
$10K |
| 90686 |
|
64 |
54 |
$1K |
| 99221 |
|
13 |
13 |
$72.86 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
34 |
$12.00 |
| 3079F |
|
20 |
16 |
$0.00 |
| 3074F |
|
32 |
29 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |
| 2001F |
|
15 |
15 |
$0.00 |
| 2010F |
|
14 |
14 |
$0.00 |
| 1160F |
|
32 |
30 |
$0.00 |
| 3078F |
|
22 |
22 |
$0.00 |
| 1159F |
|
32 |
30 |
$0.00 |