| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,106 |
455 |
$126K |
| 99233 |
Prolong inpt eval add15 m |
2,124 |
984 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
333 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
329 |
199 |
$7K |
| 99254 |
|
12 |
12 |
$796.80 |
| 99255 |
|
12 |
12 |
$783.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$479.64 |
| 99223 |
Prolong inpt eval add15 m |
39 |
37 |
$414.00 |
| 94726 |
|
28 |
25 |
$174.25 |
| 94729 |
|
28 |
25 |
$132.57 |