| Code | Description | Claims | Beneficiaries | Total Paid |
| 99221 |
|
395 |
365 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
347 |
319 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
434 |
246 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
124 |
111 |
$5K |
| 99215 |
Prolong outpt/office vis |
217 |
186 |
$5K |
| 95816 |
|
406 |
363 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
159 |
113 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
31 |
$2K |
| 99205 |
Prolong outpt/office vis |
38 |
38 |
$1K |
| 99253 |
|
14 |
13 |
$603.85 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
12 |
$237.60 |