| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,653 |
1,471 |
$93K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
832 |
819 |
$86K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,373 |
624 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
570 |
$38K |
| 99222 |
Initial hospital care, per day, moderate complexity |
516 |
489 |
$13K |
| 90961 |
|
296 |
293 |
$13K |
| 90966 |
|
81 |
75 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$403.71 |