| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
6,528 |
1,671 |
$119K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,680 |
525 |
$74K |
| 99215 |
Prolong outpt/office vis |
807 |
799 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
972 |
966 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
156 |
154 |
$10K |
| 99310 |
Prolong nursin fac eval 15m |
226 |
78 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
237 |
52 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
689 |
266 |
$2K |
| 99443 |
|
29 |
28 |
$675.46 |
| 90674 |
|
19 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |