| 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 |
471 |
437 |
$62K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
348 |
82 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
28 |
$2K |
| 90961 |
|
12 |
12 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
25 |
$1K |
| 81002 |
|
13 |
13 |
$13.50 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$4.59 |