| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,575 |
539 |
$110K |
| 90962 |
|
491 |
437 |
$29K |
| 90961 |
|
125 |
124 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
226 |
216 |
$20K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
71 |
65 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
132 |
$16K |
| 99254 |
|
72 |
66 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
20 |
12 |
$3K |
| 3077F |
|
31 |
12 |
$0.00 |