| Code | Description | Claims | Beneficiaries | Total Paid |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,376 |
1,367 |
$91K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,586 |
1,017 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,039 |
956 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
67 |
65 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
128 |
60 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
118 |
102 |
$3K |
| 90966 |
|
40 |
38 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
13 |
$881.44 |
| 90961 |
|
15 |
15 |
$699.70 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
67 |
63 |
$418.42 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$403.32 |