| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,287 |
684 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
923 |
486 |
$16K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,119 |
2,018 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
135 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
33 |
31 |
$991.77 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$307.28 |
| 90961 |
|
25 |
24 |
$0.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
26 |
12 |
$0.00 |