| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,694 |
844 |
$255.64 |
| 99223 |
Prolong inpt eval add15 m |
475 |
468 |
$99.14 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
528 |
473 |
$0.00 |
| 94010 |
|
14 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
713 |
696 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
1,277 |
314 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
756 |
703 |
$0.00 |