| 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 |
1,012 |
997 |
$49K |
| 99233 |
Prolong inpt eval add15 m |
2,422 |
590 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
483 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
128 |
118 |
$5K |
| 90966 |
|
14 |
14 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
97 |
26 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
26 |
14 |
$333.49 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
19 |
15 |
$0.00 |