| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,639 |
1,566 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,088 |
2,029 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
436 |
376 |
$18K |
| 99215 |
Prolong outpt/office vis |
62 |
61 |
$4K |
| 99490 |
Ccm add 20min |
457 |
457 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
33 |
26 |
$330.40 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
71 |
71 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
192 |
182 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
69 |
69 |
$0.00 |