| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
3,585 |
2,959 |
$197K |
| 99233 |
Prolong inpt eval add15 m |
2,038 |
889 |
$35K |
| 99254 |
|
505 |
441 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
582 |
280 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
617 |
519 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
200 |
191 |
$5K |
| 99220 |
|
78 |
77 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
140 |
117 |
$2K |
| 99219 |
|
32 |
31 |
$722.57 |
| 99217 |
|
27 |
27 |
$159.74 |