| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,918 |
671 |
$199K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,729 |
1,141 |
$92K |
| 99233 |
Prolong inpt eval add15 m |
297 |
140 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
365 |
150 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
781 |
447 |
$5K |
| 76775 |
|
134 |
129 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
132 |
131 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
56 |
$2K |
| 93308 |
|
46 |
46 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
26 |
26 |
$1K |
| 76604 |
|
61 |
59 |
$961.98 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$735.75 |