| 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 |
1,125 |
1,121 |
$178K |
| 99233 |
Prolong inpt eval add15 m |
3,268 |
837 |
$169K |
| 99223 |
Prolong inpt eval add15 m |
1,096 |
1,011 |
$103K |
| 99222 |
Initial hospital care, per day, moderate complexity |
206 |
192 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
332 |
91 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
126 |
$7K |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
41 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$29.70 |