| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
638 |
260 |
$45K |
| 99233 |
Prolong inpt eval add15 m |
700 |
388 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
70 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
13 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
26 |
$769.51 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$207.00 |