| 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 |
803 |
800 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
549 |
511 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
793 |
401 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
550 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
148 |
70 |
$3K |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |