| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,501 |
480 |
$31K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
217 |
39 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
177 |
151 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
85 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
136 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
90 |
44 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
18 |
13 |
$797.23 |