| Code | Description | Claims | Beneficiaries | Total Paid |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
537 |
519 |
$46K |
| 99233 |
Prolong inpt eval add15 m |
1,205 |
469 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
466 |
449 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
197 |
103 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
40 |
38 |
$2K |
| 90961 |
|
15 |
15 |
$854.60 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
17 |
$69.57 |