| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
10,477 |
4,407 |
$592K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,548 |
4,427 |
$436K |
| 99255 |
|
2,051 |
1,755 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,402 |
5,048 |
$297K |
| 99254 |
|
912 |
807 |
$114K |
| 99223 |
Prolong inpt eval add15 m |
1,624 |
1,411 |
$75K |
| 96521 |
|
792 |
68 |
$48K |
| 99245 |
|
209 |
174 |
$42K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
296 |
236 |
$40K |
| 99243 |
|
186 |
124 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
553 |
479 |
$13K |
| 99215 |
Prolong outpt/office vis |
397 |
295 |
$12K |
| 99354 |
|
114 |
91 |
$7K |
| 99401 |
|
449 |
362 |
$3K |
| 99253 |
|
19 |
18 |
$2K |
| 99406 |
|
137 |
112 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,174 |
138 |
$896.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
36 |
$571.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
13 |
$254.78 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
13 |
13 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
875 |
103 |
$0.00 |