| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
824 |
292 |
$18K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
191 |
174 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
37 |
24 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
32 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$928.15 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
14 |
$548.63 |
| 99490 |
Ccm add 20min |
13 |
13 |
$35.80 |