| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
8,649 |
8,242 |
$965K |
| 99233 |
Prolong inpt eval add15 m |
7,293 |
4,225 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,068 |
1,609 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
177 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
192 |
129 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
947 |
634 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
28 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
13 |
$867.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
108 |
83 |
$156.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
218 |
185 |
$114.15 |
| 81003 |
|
13 |
12 |
$22.40 |