| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,728 |
2,431 |
$70K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
162 |
137 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
104 |
39 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
32 |
$521.79 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$153.68 |
| 99152 |
|
39 |
39 |
$73.58 |