| 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 |
1,016 |
1,016 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
270 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
990 |
499 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
360 |
176 |
$5K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
254 |
150 |
$2K |
| 90961 |
|
56 |
56 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
39 |
$280.61 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$0.00 |