| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,519 |
903 |
$37K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
205 |
199 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
143 |
131 |
$3K |
| 90961 |
|
42 |
38 |
$2K |
| 36902 |
|
16 |
15 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
24 |
$643.79 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
53 |
50 |
$23.07 |