| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,228 |
362 |
$42K |
| 99223 |
Prolong inpt eval add15 m |
87 |
71 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
380 |
169 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
23 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
12 |
$598.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
111 |
$26.97 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
183 |
64 |
$0.00 |