| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,017 |
1,873 |
$125K |
| 99223 |
Prolong inpt eval add15 m |
764 |
682 |
$46K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
184 |
182 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
411 |
$16K |
| 90961 |
|
28 |
28 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
29 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$507.70 |