| Code | Description | Claims | Beneficiaries | Total Paid |
| 99252 |
|
282 |
266 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
104 |
102 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
60 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
32 |
31 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
30 |
26 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
27 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$801.51 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
13 |
$563.79 |
| 94760 |
|
62 |
54 |
$13.20 |