| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
47 |
36 |
$449.84 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30 |
19 |
$391.21 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$350.95 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$282.48 |
| 94726 |
|
29 |
29 |
$78.26 |
| 94060 |
|
14 |
14 |
$60.30 |
| 94729 |
|
29 |
29 |
$58.32 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$0.00 |