| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,380 |
1,266 |
$34K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
485 |
485 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
432 |
424 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
119 |
43 |
$501.67 |
| 36415 |
Collection of venous blood by venipuncture |
229 |
185 |
$192.20 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
55 |
28 |
$175.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
47 |
41 |
$135.18 |
| 84156 |
|
44 |
43 |
$0.00 |
| 82570 |
|
44 |
43 |
$0.00 |
| 80069 |
|
40 |
38 |
$0.00 |
| 82043 |
|
44 |
43 |
$0.00 |
| 83735 |
|
60 |
58 |
$0.00 |