| 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 |
9,121 |
8,938 |
$1.03M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,568 |
1,630 |
$51K |
| 99215 |
Prolong outpt/office vis |
656 |
641 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
873 |
433 |
$24K |
| 90961 |
|
206 |
202 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
449 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
180 |
176 |
$6K |
| 99499 |
|
69 |
69 |
$4K |
| 99205 |
Prolong outpt/office vis |
78 |
74 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
292 |
291 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
87 |
50 |
$1K |
| 90966 |
|
12 |
12 |
$916.32 |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
37 |
$0.00 |