| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
6,158 |
1,157 |
$177K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
330 |
264 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,383 |
1,116 |
$8K |
| 90961 |
|
163 |
136 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,687 |
478 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
16 |
15 |
$1K |
| 90962 |
|
21 |
12 |
$635.01 |