| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
890 |
377 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
664 |
514 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
166 |
63 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
122 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
55 |
$4K |
| 94060 |
|
153 |
123 |
$2K |
| 94729 |
|
219 |
175 |
$1K |
| 94726 |
|
202 |
160 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
24 |
$555.22 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$42.68 |
| 3074F |
|
61 |
41 |
$0.00 |
| 3078F |
|
68 |
43 |
$0.00 |