| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
132 |
34 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
234 |
181 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
104 |
44 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
19 |
$1K |
| 99292 |
|
15 |
13 |
$956.36 |
| 99222 |
Initial hospital care, per day, moderate complexity |
23 |
16 |
$625.68 |
| 99490 |
Ccm add 20min |
12 |
12 |
$-37.78 |