| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
3,119 |
1,374 |
$167K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,718 |
934 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
613 |
602 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
389 |
388 |
$36K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
214 |
178 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
654 |
623 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
337 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
192 |
192 |
$15K |
| 99205 |
Prolong outpt/office vis |
120 |
119 |
$14K |
| 99215 |
Prolong outpt/office vis |
144 |
141 |
$12K |
| 99255 |
|
89 |
87 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
103 |
103 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$791.86 |