| 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 |
4,197 |
4,183 |
$409K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,250 |
400 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
288 |
271 |
$16K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
544 |
169 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
207 |
207 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
133 |
$3K |
| 99457 |
|
363 |
362 |
$3K |
| 99454 |
|
158 |
158 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$741.38 |
| 99222 |
Initial hospital care, per day, moderate complexity |
21 |
20 |
$663.65 |
| 99253 |
|
12 |
12 |
$223.40 |
| 99490 |
Ccm add 20min |
12 |
12 |
$161.25 |