| 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 |
756 |
708 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
601 |
517 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
365 |
177 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
721 |
333 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
74 |
65 |
$5K |
| 99490 |
Ccm add 20min |
12 |
12 |
$44.40 |