| 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 |
2,467 |
2,105 |
$174K |
| 90961 |
|
813 |
715 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
984 |
802 |
$40K |
| 99215 |
Prolong outpt/office vis |
32 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
90 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
295 |
265 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
29 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
30 |
13 |
$572.07 |