| Code | Description | Claims | Beneficiaries | Total Paid |
| 90962 |
|
143 |
141 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
536 |
187 |
$8K |
| 90961 |
|
73 |
72 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
332 |
134 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
66 |
53 |
$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 |
$782.25 |
| 99221 |
|
21 |
18 |
$757.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
25 |
$583.55 |
| 99233 |
Prolong inpt eval add15 m |
62 |
20 |
$525.75 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$461.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$268.15 |