| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,572 |
324 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
737 |
161 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
419 |
360 |
$14K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
796 |
730 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
292 |
203 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
161 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
51 |
37 |
$2K |
| 90961 |
|
87 |
69 |
$720.00 |