| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
3,811 |
3,592 |
$234K |
| 99233 |
Prolong inpt eval add15 m |
3,984 |
2,064 |
$158K |
| 99223 |
Prolong inpt eval add15 m |
1,952 |
1,905 |
$152K |
| 99205 |
Prolong outpt/office vis |
895 |
892 |
$77K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
382 |
129 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,632 |
777 |
$33K |
| 95819 |
|
329 |
321 |
$8K |
| 95813 |
|
71 |
69 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
420 |
409 |
$7K |
| 95816 |
|
228 |
219 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
201 |
$4K |
| 95913 |
|
12 |
12 |
$3K |
| 95886 |
|
24 |
24 |
$2K |
| 95822 |
|
26 |
24 |
$583.87 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$241.36 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
28 |
$122.13 |