| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
4,617 |
1,271 |
$137K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,467 |
727 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
610 |
512 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
425 |
339 |
$23K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
177 |
40 |
$13K |
| 90961 |
|
99 |
89 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
42 |
39 |
$2K |
| 90962 |
|
17 |
14 |
$1K |