| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,005 |
470 |
$9K |
| 90961 |
|
136 |
135 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
203 |
$5K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
127 |
127 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
182 |
88 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
43 |
39 |
$646.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
47 |
$427.30 |