| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
2,052 |
370 |
$177K |
| 99223 |
Prolong inpt eval add15 m |
461 |
289 |
$67K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,536 |
1,233 |
$63K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,801 |
406 |
$34K |
| 99251 |
|
206 |
183 |
$5K |
| 99462 |
|
191 |
109 |
$3K |
| 99460 |
|
41 |
40 |
$1K |
| 99253 |
|
22 |
12 |
$841.60 |
| 99241 |
|
13 |
13 |
$620.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$314.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$0.00 |
| 99404 |
|
54 |
54 |
$0.00 |
| 85014 |
|
51 |
50 |
$0.00 |
| 99411 |
|
40 |
39 |
$0.00 |
| 99173 |
|
50 |
50 |
$0.00 |
| 99442 |
|
75 |
61 |
$0.00 |
| 80061 |
Lipid panel |
15 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
43 |
$0.00 |
| 92551 |
|
56 |
53 |
$0.00 |
| 96161 |
|
49 |
48 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
50 |
$0.00 |
| 99443 |
|
21 |
17 |
$0.00 |