| 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 |
1,453 |
1,453 |
$53K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
927 |
420 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
237 |
$6K |
| 90961 |
|
116 |
116 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
175 |
116 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
110 |
69 |
$602.69 |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$423.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
37 |
$302.72 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$48.07 |