| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,384 |
465 |
$49K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
393 |
380 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
317 |
302 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
732 |
252 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
382 |
371 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
171 |
163 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$759.45 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$509.78 |