| Code | Description | Claims | Beneficiaries | Total Paid |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
4,472 |
4,450 |
$486K |
| 99233 |
Prolong inpt eval add15 m |
14,063 |
3,327 |
$390K |
| 99223 |
Prolong inpt eval add15 m |
1,867 |
1,724 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,491 |
3,417 |
$51K |
| 90961 |
|
501 |
483 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
512 |
146 |
$7K |
| 99454 |
|
243 |
243 |
$3K |
| 90962 |
|
36 |
36 |
$2K |
| 99457 |
|
215 |
214 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$1K |
| 99458 |
|
105 |
105 |
$867.02 |
| 99453 |
|
20 |
20 |
$63.58 |
| 99442 |
|
12 |
12 |
$56.58 |