| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
4,298 |
1,559 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,307 |
1,079 |
$54K |
| 99223 |
Prolong inpt eval add15 m |
73 |
68 |
$5K |
| 99215 |
Prolong outpt/office vis |
72 |
70 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
104 |
94 |
$3K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
13 |
13 |
$1K |
| 82570 |
|
283 |
219 |
$1K |
| 81003 |
|
314 |
250 |
$575.65 |
| 84156 |
|
146 |
118 |
$283.57 |