| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
4,705 |
1,659 |
$125K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,243 |
2,169 |
$106K |
| 99223 |
Prolong inpt eval add15 m |
1,331 |
1,172 |
$63K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,652 |
1,131 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
952 |
875 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
714 |
664 |
$20K |
| 90961 |
|
417 |
401 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
467 |
405 |
$13K |
| 90962 |
|
61 |
51 |
$3K |