| 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 |
3,875 |
3,864 |
$513K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
540 |
112 |
$14K |
| 90961 |
|
46 |
46 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
28 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
24 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$215.38 |