| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,522 |
352 |
$89K |
| 99223 |
Prolong inpt eval add15 m |
549 |
433 |
$46K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
720 |
243 |
$35K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
590 |
287 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
252 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
235 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
58 |
25 |
$2K |