| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
5,038 |
1,461 |
$182K |
| 99223 |
Prolong inpt eval add15 m |
636 |
582 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
106 |
$5K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
52 |
52 |
$4K |
| 99215 |
Prolong outpt/office vis |
31 |
27 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
12 |
$298.80 |