| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
857 |
320 |
$51K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
412 |
139 |
$17K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
208 |
57 |
$16K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
380 |
270 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
309 |
265 |
$11K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
176 |
42 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
363 |
307 |
$8K |
| 95720 |
|
67 |
26 |
$6K |
| 99255 |
|
15 |
15 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
20 |
13 |
$2K |
| 90961 |
|
59 |
46 |
$2K |
| 88307 |
|
15 |
15 |
$707.85 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
35 |
12 |
$595.56 |
| 76377 |
|
41 |
34 |
$549.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$530.75 |
| 93356 |
|
131 |
105 |
$119.11 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
36 |
34 |
$62.07 |