| 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 |
858 |
811 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
411 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
100 |
$2K |
| 90961 |
|
46 |
43 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
55 |
15 |
$833.90 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$191.29 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
13 |
$188.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$38.25 |