| 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 |
686 |
686 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
664 |
397 |
$9K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
244 |
140 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
115 |
59 |
$3K |
| 99254 |
|
49 |
49 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
26 |
$446.56 |
| 90961 |
|
13 |
13 |
$270.94 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$115.42 |