| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
886 |
362 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
121 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
28 |
26 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
26 |
25 |
$854.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
37 |
$831.65 |