| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,160 |
879 |
$49K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
422 |
405 |
$39K |
| 99233 |
Prolong inpt eval add15 m |
613 |
212 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
64 |
$3K |
| 36902 |
|
17 |
12 |
$2K |
| 75710 |
|
14 |
13 |
$156.90 |
| 99152 |
|
32 |
27 |
$130.53 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
33 |
17 |
$11.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
26 |
14 |
$4.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
13 |
$0.02 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
19 |
12 |
$0.00 |