| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,314 |
334 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
449 |
358 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
880 |
274 |
$10K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
247 |
157 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
183 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
39 |
$810.24 |
| 36620 |
|
14 |
13 |
$301.49 |
| 94060 |
|
25 |
24 |
$215.77 |
| 94727 |
|
25 |
24 |
$91.42 |
| 94729 |
|
25 |
24 |
$78.06 |