| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
6,175 |
1,655 |
$205K |
| 99223 |
Prolong inpt eval add15 m |
953 |
878 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
772 |
719 |
$23K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
64 |
64 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
121 |
78 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$0.60 |