| 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 |
3,386 |
3,339 |
$108K |
| 90961 |
|
258 |
257 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
800 |
333 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
221 |
208 |
$6K |
| 99215 |
Prolong outpt/office vis |
170 |
168 |
$5K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
211 |
100 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
29 |
29 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
63 |
27 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
52 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
56 |
37 |
$883.73 |
| 90962 |
|
13 |
13 |
$511.42 |