| Code | Description | Claims | Beneficiaries | Total Paid |
| 90962 |
|
1,192 |
1,178 |
$75K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,152 |
807 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
521 |
494 |
$19K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
446 |
166 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
146 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
435 |
384 |
$3K |
| 99253 |
|
12 |
12 |
$572.70 |
| 99233 |
Prolong inpt eval add15 m |
91 |
42 |
$504.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$377.39 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$287.04 |