| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
18,022 |
3,509 |
$1.08M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,373 |
1,951 |
$259K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
816 |
816 |
$144K |
| 99223 |
Prolong inpt eval add15 m |
1,142 |
1,051 |
$118K |
| 99253 |
|
1,659 |
1,564 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
448 |
433 |
$24K |
| 90961 |
|
133 |
133 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233 |
214 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
81 |
77 |
$6K |
| 99252 |
|
73 |
71 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
56 |
25 |
$2K |
| 99220 |
|
13 |
12 |
$1K |
| 99072 |
|
12 |
12 |
$0.00 |