| Code | Description | Claims | Beneficiaries | Total Paid |
| 99235 |
|
805 |
694 |
$98K |
| 99220 |
|
355 |
329 |
$46K |
| 99234 |
|
385 |
349 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
116 |
97 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
161 |
121 |
$6K |
| 99236 |
Prolong inpt eval add15 m |
15 |
14 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
18 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
75 |
64 |
$686.92 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
14 |
$24.40 |