| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
410 |
194 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
302 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
198 |
116 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
192 |
113 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
56 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$975.76 |