| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,809 |
1,088 |
$44K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,377 |
1,238 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
274 |
236 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
366 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
82 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
19 |
14 |
$857.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
18 |
$263.74 |
| 99152 |
|
57 |
56 |
$18.50 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
54 |
53 |
$0.00 |