| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
6,870 |
2,311 |
$401K |
| 99223 |
Prolong inpt eval add15 m |
1,363 |
1,257 |
$200K |
| 99255 |
|
1,929 |
1,872 |
$142K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,908 |
1,140 |
$138K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,201 |
1,091 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
145 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
76 |
$8K |