| Code | Description | Claims | Beneficiaries | Total Paid |
| 99221 |
|
1,507 |
1,457 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,280 |
1,265 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
875 |
719 |
$5K |
| 99252 |
|
33 |
32 |
$988.32 |
| 99254 |
|
15 |
15 |
$976.65 |
| 99253 |
|
12 |
12 |
$541.56 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
60 |
58 |
$330.63 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
106 |
37 |
$259.47 |