| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,276 |
4,845 |
$193K |
| 99233 |
Prolong inpt eval add15 m |
3,598 |
1,114 |
$135K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,201 |
1,841 |
$129K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,092 |
1,184 |
$59K |
| 90961 |
|
557 |
497 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
724 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
303 |
261 |
$13K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
238 |
108 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
139 |
123 |
$3K |
| 99221 |
|
19 |
14 |
$219.98 |
| 99442 |
|
17 |
12 |
$44.91 |