| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,209 |
1,185 |
$24K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
438 |
436 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
426 |
204 |
$4K |
| 90961 |
|
113 |
113 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
36 |
36 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
60 |
58 |
$852.40 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
32 |
31 |
$0.00 |