| 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 |
1,287 |
1,263 |
$60K |
| 90961 |
|
737 |
724 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
358 |
333 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
197 |
$7K |
| 90962 |
|
282 |
277 |
$6K |
| 90966 |
|
164 |
156 |
$5K |
| 90937 |
|
244 |
171 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
237 |
109 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
244 |
90 |
$2K |
| 99215 |
Prolong outpt/office vis |
40 |
38 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
107 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
251 |
116 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$124.56 |