| 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 |
1,380 |
1,314 |
$110K |
| 90961 |
|
419 |
403 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,077 |
776 |
$35K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
165 |
101 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
108 |
103 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$268.57 |