| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
7,499 |
6,141 |
$306K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
8,404 |
6,578 |
$287K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,237 |
327 |
$32K |
| 90961 |
|
571 |
441 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
370 |
84 |
$9K |
| 99199 |
Unlisted special service, procedure or report |
1,943 |
1,922 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
299 |
142 |
$5K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
44 |
12 |
$375.06 |
| 90966 |
|
75 |
50 |
$258.31 |