| 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 |
1,861 |
1,699 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,266 |
2,081 |
$146K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
910 |
326 |
$57K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
47 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$1K |
| 99254 |
|
26 |
24 |
$975.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$913.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$674.22 |
| 99243 |
|
14 |
14 |
$559.00 |