| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
1,351 |
975 |
$96K |
| 99233 |
Prolong inpt eval add15 m |
2,985 |
887 |
$65K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,750 |
1,030 |
$62K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
501 |
407 |
$20K |
| 99215 |
Prolong outpt/office vis |
162 |
136 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
144 |
$4K |
| 90961 |
|
85 |
57 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
541 |
122 |
$2K |
| 90962 |
|
28 |
27 |
$2K |