| Code | Description | Claims | Beneficiaries | Total Paid |
| 90961 |
|
6,723 |
6,714 |
$591K |
| 99233 |
Prolong inpt eval add15 m |
17,034 |
5,726 |
$435K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,098 |
1,992 |
$354K |
| 99223 |
Prolong inpt eval add15 m |
4,765 |
4,517 |
$332K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,198 |
6,056 |
$148K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,040 |
3,384 |
$122K |
| 99310 |
Prolong nursin fac eval 15m |
3,185 |
3,113 |
$114K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,098 |
4,913 |
$71K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,741 |
587 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
229 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
151 |
145 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
27 |
27 |
$4K |