| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,606 |
754 |
$55K |
| 99254 |
|
713 |
686 |
$43K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
466 |
359 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
248 |
118 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
37 |
27 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
176 |
165 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$391.00 |