| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
4,498 |
1,816 |
$303K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,194 |
3,115 |
$183K |
| 90961 |
|
636 |
636 |
$48K |
| 90962 |
|
706 |
706 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
984 |
466 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
310 |
305 |
$33K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
322 |
322 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
97 |
$6K |
| 83970 |
|
81 |
81 |
$3K |
| 99215 |
Prolong outpt/office vis |
23 |
23 |
$2K |
| 83735 |
|
68 |
67 |
$422.10 |
| 85027 |
|
67 |
67 |
$388.21 |
| 82570 |
|
67 |
66 |
$310.01 |
| 84100 |
|
64 |
64 |
$234.76 |
| 84156 |
|
66 |
66 |
$223.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$107.89 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$77.83 |