| Code | Description | Claims | Bene. Records | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,216 |
381 |
$76K |
| 99233 |
Prolong inpt eval add15 m |
254 |
132 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
42 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$550.03 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$188.38 |
| 94726 |
|
12 |
12 |
$48.17 |
| 94060 |
|
13 |
13 |
$41.68 |
| 94729 |
|
12 |
12 |
$35.71 |