| 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 |
1,450 |
1,301 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
588 |
542 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
441 |
301 |
$27K |
| 90961 |
|
150 |
125 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
364 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
112 |
74 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$498.42 |
| 3078F |
|
21 |
18 |
$0.00 |
| 3074F |
|
18 |
16 |
$0.00 |