| 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 |
1,427 |
1,363 |
$134K |
| 99233 |
Prolong inpt eval add15 m |
3,930 |
1,178 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,198 |
1,080 |
$51K |
| 99223 |
Prolong inpt eval add15 m |
357 |
326 |
$18K |
| 90961 |
|
70 |
70 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
12 |
$174.30 |
| 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) |
12 |
12 |
$37.93 |