| 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 |
867 |
867 |
$105K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,090 |
692 |
$21K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
871 |
445 |
$21K |
| 90961 |
|
123 |
123 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
169 |
166 |
$6K |
| 99221 |
|
150 |
147 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
110 |
107 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
56 |
37 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
64 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
65 |
$911.98 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
25 |
$349.68 |