| Code | Description | Claims | Beneficiaries | Total Paid |
| 99349 |
|
3,755 |
2,588 |
$64K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,677 |
1,083 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,994 |
1,770 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
866 |
548 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
478 |
319 |
$16K |
| 99335 |
|
1,856 |
1,158 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
794 |
478 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
114 |
84 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,368 |
426 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
501 |
158 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
453 |
309 |
$1K |
| 99219 |
|
49 |
26 |
$260.04 |
| 99233 |
Prolong inpt eval add15 m |
69 |
30 |
$65.26 |
| 90791 |
Psychiatric diagnostic evaluation |
61 |
12 |
$0.00 |
| 99336 |
|
33 |
17 |
$0.00 |
| 99337 |
|
35 |
18 |
$0.00 |