| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
1,328 |
1,130 |
$59K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,174 |
895 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
322 |
300 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
682 |
206 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
736 |
646 |
$14K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
185 |
31 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
58 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
44 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
18 |
$559.38 |
| 99024 |
|
14 |
12 |
$0.00 |