| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
699 |
282 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
872 |
325 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
252 |
$5K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
219 |
149 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
126 |
118 |
$4K |
| 99454 |
|
97 |
94 |
$75.93 |
| 99457 |
|
123 |
120 |
$34.20 |
| 99453 |
|
20 |
20 |
$0.00 |