| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,642 |
904 |
$47K |
| 99233 |
Prolong inpt eval add15 m |
1,044 |
265 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
237 |
207 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
220 |
192 |
$7K |
| 90961 |
|
102 |
99 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$155.40 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
52 |
52 |
$0.00 |