| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,202 |
1,638 |
$56K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,082 |
1,069 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
567 |
560 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
357 |
345 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$380.79 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$64.60 |
| 99072 |
|
106 |
105 |
$0.00 |