| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
259 |
107 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
92 |
89 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
65 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61 |
36 |
$625.14 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
38 |
$378.86 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$241.75 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
17 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
109 |
104 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
30 |
27 |
$0.00 |
| 4004F |
|
30 |
27 |
$0.00 |