| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,034 |
228 |
$54K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
106 |
19 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
77 |
52 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
28 |
27 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
463 |
72 |
$383.43 |
| 99222 |
Initial hospital care, per day, moderate complexity |
32 |
31 |
$0.00 |