| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
8,799 |
2,558 |
$264K |
| 99223 |
Prolong inpt eval add15 m |
963 |
874 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
856 |
749 |
$46K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
37 |
37 |
$5K |
| 90966 |
|
30 |
28 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$493.95 |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
17 |
$110.74 |