| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
174 |
83 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
165 |
116 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
80 |
76 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
55 |
27 |
$677.26 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
12 |
$530.92 |
| 93308 |
|
28 |
27 |
$372.68 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$207.68 |