| 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 |
2,151 |
2,151 |
$161K |
| 90961 |
|
2,246 |
2,246 |
$136K |
| 99233 |
Prolong inpt eval add15 m |
310 |
98 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
536 |
518 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
216 |
208 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
103 |
37 |
$3K |
| 90962 |
|
27 |
27 |
$2K |
| 99441 |
|
25 |
25 |
$634.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$528.33 |
| 99442 |
|
12 |
12 |
$513.52 |