| 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 |
749 |
740 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
257 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
65 |
27 |
$754.19 |
| 99442 |
|
13 |
13 |
$258.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
53 |
$252.58 |
| 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) |
13 |
13 |
$0.00 |