| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,164 |
444 |
$150K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,602 |
1,387 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,643 |
1,614 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
129 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
121 |
121 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
142 |
60 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
105 |
$4K |
| 94729 |
|
28 |
28 |
$2K |
| 94726 |
|
28 |
28 |
$2K |
| 94060 |
|
12 |
12 |
$686.43 |