| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,815 |
590 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
751 |
673 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
935 |
831 |
$16K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
597 |
558 |
$12K |
| 90961 |
|
558 |
537 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
95 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
63 |
27 |
$723.11 |