| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
8,616 |
2,497 |
$293K |
| 99223 |
Prolong inpt eval add15 m |
1,340 |
1,172 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,482 |
1,300 |
$62K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
272 |
272 |
$28K |
| 90966 |
|
29 |
25 |
$5K |
| 90961 |
|
37 |
37 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
15 |
$526.44 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$286.67 |
| 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) |
21 |
17 |
$66.22 |