| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,184 |
981 |
$61K |
| 99233 |
Prolong inpt eval add15 m |
1,003 |
200 |
$47K |
| 99223 |
Prolong inpt eval add15 m |
100 |
100 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
12 |
12 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
51 |
28 |
$1K |
| 99000 |
|
27 |
27 |
$0.00 |