| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
5,252 |
1,171 |
$287K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,552 |
642 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,721 |
1,577 |
$74K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
536 |
529 |
$64K |
| 99223 |
Prolong inpt eval add15 m |
546 |
517 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
328 |
316 |
$12K |
| 99423 |
|
381 |
370 |
$10K |
| 99422 |
|
95 |
94 |
$2K |