| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,825 |
1,082 |
$65K |
| 99233 |
Prolong inpt eval add15 m |
5,285 |
838 |
$60K |
| 99310 |
Prolong nursin fac eval 15m |
1,811 |
462 |
$55K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
384 |
150 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
94 |
$7K |
| 99356 |
|
1,669 |
381 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
409 |
394 |
$5K |
| 3008F |
|
60 |
55 |
$0.00 |
| 1170F |
|
63 |
57 |
$0.00 |
| 1160F |
|
64 |
58 |
$0.00 |
| 1159F |
|
66 |
59 |
$0.00 |