| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,508 |
424 |
$76K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,499 |
356 |
$51K |
| 99223 |
Prolong inpt eval add15 m |
478 |
440 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
646 |
584 |
$27K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
89 |
86 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
201 |
$8K |
| 99423 |
|
44 |
41 |
$651.24 |
| 99422 |
|
25 |
24 |
$229.56 |