| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
3,970 |
1,341 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,253 |
1,125 |
$49K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
602 |
602 |
$48K |
| 99223 |
Prolong inpt eval add15 m |
370 |
336 |
$28K |
| 99215 |
Prolong outpt/office vis |
303 |
282 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
106 |
51 |
$3K |
| 82570 |
|
78 |
65 |
$298.76 |
| 81003 |
|
91 |
77 |
$156.51 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
31 |
27 |
$139.40 |
| 84156 |
|
45 |
37 |
$88.71 |
| 1160F |
|
16 |
14 |
$0.00 |