| 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 |
2,365 |
2,346 |
$140K |
| 90966 |
|
419 |
419 |
$23K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
461 |
260 |
$9K |
| 90961 |
|
74 |
73 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
76 |
42 |
$1K |
| 90937 |
|
15 |
12 |
$419.99 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$144.21 |