| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
165 |
66 |
$5K |
| 99243 |
|
28 |
28 |
$941.00 |
| 99233 |
Prolong inpt eval add15 m |
35 |
17 |
$675.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
127 |
120 |
$364.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$0.00 |
| 96160 |
|
25 |
13 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
25 |
13 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 1160F |
|
13 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
89 |
$0.00 |