| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
205 |
140 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
127 |
124 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
81 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
36 |
$3K |
| 99460 |
|
31 |
31 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |