| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
4,034 |
2,592 |
$145K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,022 |
623 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,359 |
932 |
$27K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
404 |
287 |
$27K |
| 99255 |
|
239 |
226 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
272 |
218 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
80 |
78 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
29 |
12 |
$787.84 |
| 96415 |
|
16 |
12 |
$351.15 |
| 99222 |
Initial hospital care, per day, moderate complexity |
35 |
35 |
$201.26 |