| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
358 |
197 |
$32K |
| 94060 |
|
268 |
268 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
257 |
160 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
127 |
76 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 94729 |
|
12 |
12 |
$512.43 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$442.47 |
| 94727 |
|
12 |
12 |
$391.00 |