| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,040 |
373 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
734 |
229 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
464 |
401 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
158 |
134 |
$12K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
68 |
62 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
14 |
$1K |
| 99220 |
|
12 |
12 |
$486.85 |