| Code | Description | Claims | Bene. Records | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
261 |
188 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,278 |
905 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
800 |
589 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
357 |
114 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
705 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
141 |
$106.43 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
41 |
26 |
$39.27 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
200 |
158 |
$32.55 |