| 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 |
1,289 |
1,221 |
$139K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,612 |
1,320 |
$76K |
| 90966 |
|
406 |
395 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
1,025 |
385 |
$33K |
| 99223 |
Prolong inpt eval add15 m |
486 |
449 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
40 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$359.80 |