| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
2,045 |
706 |
$212K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,502 |
1,012 |
$182K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
216 |
210 |
$38K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
305 |
258 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
86 |
84 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
235 |
231 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
250 |
162 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
59 |
59 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
17 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
26 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
15 |
$710.28 |