| 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 |
1,606 |
1,508 |
$50K |
| 90961 |
|
771 |
725 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,357 |
1,051 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
479 |
423 |
$11K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
597 |
357 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$702.02 |
| 90962 |
|
12 |
12 |
$667.07 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
28 |
$618.70 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
14 |
$546.48 |
| 99221 |
|
14 |
14 |
$123.52 |