| 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 |
499 |
499 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
1,447 |
490 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,941 |
525 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
57 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
108 |
103 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
33 |
33 |
$638.43 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$221.22 |