| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
131 |
58 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
63 |
26 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
57 |
27 |
$939.36 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$557.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$167.62 |
| 94060 |
|
15 |
15 |
$85.27 |
| 99429 |
|
86 |
85 |
$0.00 |