| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
418 |
118 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
106 |
40 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
46 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
28 |
$2K |
| 80053 |
Comprehensive metabolic panel |
62 |
40 |
$433.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
25 |
$158.55 |