| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,318 |
492 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
437 |
$20K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
241 |
225 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
107 |
95 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
59 |
13 |
$5K |
| 99215 |
Prolong outpt/office vis |
36 |
35 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
13 |
$954.94 |