| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,446 |
329 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
780 |
728 |
$59K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
61 |
12 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
110 |
109 |
$11K |
| 94060 |
|
127 |
116 |
$6K |
| 94664 |
|
779 |
729 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
18 |
12 |
$3K |
| 99254 |
|
62 |
58 |
$3K |
| 94760 |
|
377 |
293 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90 |
86 |
$1K |