| Code | Description | Claims | Beneficiaries | Total Paid |
| 99239 |
Hospital discharge day management, more than 30 minutes |
366 |
364 |
$32K |
| 99460 |
|
405 |
404 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
140 |
139 |
$10K |
| 99462 |
|
216 |
194 |
$7K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
104 |
103 |
$6K |
| 99221 |
|
76 |
73 |
$6K |
| 99464 |
|
88 |
88 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
343 |
343 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
27 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$3K |
| 93320 |
|
104 |
103 |
$2K |
| 90744 |
|
274 |
273 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
12 |
$891.00 |
| 88720 |
|
745 |
413 |
$466.81 |
| 93325 |
|
127 |
113 |
$412.05 |
| 36416 |
|
803 |
429 |
$60.19 |
| 94760 |
|
554 |
330 |
$0.76 |