| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
57 |
26 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
65 |
59 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
72 |
43 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
38 |
$1K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$826.65 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$376.46 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24 |
15 |
$297.22 |