| 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 |
679 |
679 |
$58K |
| 90961 |
|
120 |
120 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
280 |
150 |
$4K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
289 |
182 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
59 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$290.87 |