| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
2,639 |
526 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
384 |
315 |
$38K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
138 |
133 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
184 |
175 |
$27K |
| 90961 |
|
18 |
18 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
150 |
42 |
$871.00 |
| G0420 |
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
12 |
12 |
$160.46 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$0.00 |