| 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 |
15,253 |
14,722 |
$831K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,507 |
1,453 |
$38K |
| 90961 |
|
171 |
169 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
138 |
54 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
29 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$565.57 |
| 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) |
118 |
118 |
$324.80 |