| Code | Description | Claims | Beneficiaries | Total Paid |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,716 |
2,695 |
$208K |
| 99233 |
Prolong inpt eval add15 m |
2,751 |
949 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,163 |
2,158 |
$139K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,956 |
1,156 |
$94K |
| 99223 |
Prolong inpt eval add15 m |
151 |
148 |
$15K |
| 99215 |
Prolong outpt/office vis |
49 |
48 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
44 |
$2K |
| 90970 |
|
27 |
26 |
$483.31 |
| 99458 |
|
38 |
38 |
$256.43 |
| 99457 |
|
51 |
51 |
$183.07 |
| 99454 |
|
25 |
25 |
$96.68 |
| 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) |
26 |
26 |
$37.71 |