| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
904 |
238 |
$148K |
| 99233 |
Prolong inpt eval add15 m |
1,405 |
582 |
$104K |
| 99223 |
Prolong inpt eval add15 m |
126 |
124 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
102 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
63 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
164 |
62 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
35 |
34 |
$3K |
| 99254 |
|
42 |
36 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$1K |
| 94760 |
|
106 |
96 |
$124.35 |