| 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 |
916 |
916 |
$59K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,030 |
369 |
$8K |
| 90961 |
|
165 |
165 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
337 |
321 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
34 |
13 |
$419.20 |
| 90962 |
|
12 |
12 |
$337.32 |
| 99223 |
Prolong inpt eval add15 m |
20 |
20 |
$282.48 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$194.20 |