| 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 |
1,227 |
1,100 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
625 |
540 |
$27K |
| 99233 |
Prolong inpt eval add15 m |
770 |
291 |
$27K |
| 99215 |
Prolong outpt/office vis |
150 |
136 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
216 |
69 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
16 |
13 |
$811.39 |
| 90961 |
|
18 |
13 |
$664.55 |
| 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) |
187 |
165 |
$241.95 |