| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
5,765 |
922 |
$168K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,725 |
765 |
$66K |
| 99223 |
Prolong inpt eval add15 m |
1,137 |
876 |
$55K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,160 |
774 |
$40K |
| 90961 |
|
1,559 |
1,154 |
$33K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
131 |
30 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
293 |
237 |
$4K |
| 90962 |
|
155 |
115 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
187 |
110 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
69 |
$2K |
| 90937 |
|
26 |
16 |
$780.62 |