| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
5,795 |
1,314 |
$318K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,128 |
1,092 |
$78K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,197 |
415 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
695 |
684 |
$40K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
335 |
335 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
80 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
25 |
13 |
$549.75 |