| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99235 |
|
121 |
85 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
72 |
58 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
39 |
$964.43 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13 |
12 |
$391.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
108 |
$131.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
67 |
38 |
$123.80 |
| 81005 |
|
134 |
84 |
$118.86 |
| 99000 |
|
31 |
25 |
$7.26 |