| 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 |
957 |
957 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
499 |
497 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
462 |
190 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
244 |
93 |
$10K |
| 90961 |
|
45 |
45 |
$7K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
85 |
51 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
28 |
25 |
$2K |