| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
13,205 |
3,820 |
$577K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,741 |
4,151 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
756 |
564 |
$33K |
| 99221 |
|
96 |
90 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
60 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
107 |
45 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
21 |
19 |
$1K |