| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
229 |
100 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
37 |
28 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
17 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
12 |
$494.36 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18 |
14 |
$176.97 |
| 93000 |
|
39 |
31 |
$142.58 |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
24 |
$3.12 |