| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,044 |
970 |
$37K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
522 |
522 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
458 |
203 |
$4K |
| 90961 |
|
25 |
25 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
15 |
13 |
$411.30 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$0.00 |