| 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 |
1,954 |
1,953 |
$73K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,321 |
1,473 |
$65K |
| 99223 |
Prolong inpt eval add15 m |
29 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$1K |
| 90961 |
|
18 |
18 |
$433.34 |
| 99490 |
Ccm add 20min |
90 |
90 |
$395.20 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$370.21 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
37 |
12 |
$250.15 |
| 99439 |
|
12 |
12 |
$30.24 |