| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
3,568 |
1,223 |
$142K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
321 |
303 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
441 |
412 |
$28K |
| 90966 |
|
151 |
151 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
268 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
19 |
$517.03 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
27 |
26 |
$427.96 |