| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,991 |
4,992 |
$216K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,346 |
2,654 |
$211K |
| 99233 |
Prolong inpt eval add15 m |
7,464 |
2,652 |
$184K |
| 90961 |
|
1,889 |
1,531 |
$111K |
| 99223 |
Prolong inpt eval add15 m |
2,295 |
1,930 |
$105K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,728 |
856 |
$42K |
| 99215 |
Prolong outpt/office vis |
338 |
218 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
231 |
207 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
145 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
99 |
$2K |
| 99205 |
Prolong outpt/office vis |
27 |
24 |
$2K |
| 99443 |
|
38 |
36 |
$973.18 |