| 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 |
13 |
13 |
$685.23 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
26 |
$50.62 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
143 |
142 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
15 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
16 |
14 |
$0.00 |