| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,351 |
349 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,725 |
580 |
$16K |
| 90962 |
|
501 |
478 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
337 |
314 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
134 |
125 |
$5K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
181 |
87 |
$2K |
| 90961 |
|
17 |
15 |
$931.28 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
15 |
$252.81 |