| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,045 |
982 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
432 |
392 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
466 |
160 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
215 |
209 |
$9K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
124 |
124 |
$5K |
| 90961 |
|
86 |
86 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
103 |
74 |
$2K |
| 82947 |
|
43 |
41 |
$36.16 |
| 1159F |
|
23 |
19 |
$0.00 |
| 2001F |
|
453 |
420 |
$0.00 |
| 2000F |
|
210 |
195 |
$0.00 |