| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,097 |
608 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
167 |
110 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
56 |
56 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$862.46 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$228.28 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
15 |
$72.85 |
| 2000F |
|
100 |
95 |
$0.00 |
| 3008F |
|
126 |
121 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 1159F |
|
102 |
97 |
$0.00 |
| 1160F |
|
102 |
97 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |