| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,935 |
1,042 |
$22K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
501 |
501 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
135 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
81 |
50 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
52 |
50 |
$804.35 |
| 99223 |
Prolong inpt eval add15 m |
28 |
27 |
$543.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$215.08 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
50 |
50 |
$0.00 |