| Code | Description | Claims | Beneficiaries | Total Paid |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,659 |
1,589 |
$85K |
| 99460 |
|
649 |
631 |
$45K |
| 99223 |
Prolong inpt eval add15 m |
307 |
290 |
$34K |
| 99233 |
Prolong inpt eval add15 m |
552 |
318 |
$31K |
| 99462 |
|
888 |
632 |
$30K |
| 99477 |
|
100 |
90 |
$27K |
| 54150 |
|
338 |
324 |
$23K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
255 |
56 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
38 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
26 |
$2K |