| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,799 |
638 |
$13K |
| 90961 |
|
296 |
233 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
243 |
79 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
223 |
110 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
137 |
61 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
147 |
70 |
$2K |
| 90962 |
|
15 |
14 |
$764.77 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
13 |
12 |
$610.59 |