| 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 |
7,577 |
5,575 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,969 |
2,820 |
$95K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,846 |
503 |
$32K |
| 99233 |
Prolong inpt eval add15 m |
358 |
155 |
$12K |
| 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) |
346 |
295 |
$920.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
12 |
$686.33 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
22 |
12 |
$458.01 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
12 |
$426.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$173.03 |