| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
218 |
$9K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
173 |
173 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
56 |
39 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
19 |
$517.07 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$357.95 |