| 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 |
448 |
448 |
$56K |
| 90961 |
|
290 |
290 |
$30K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
946 |
466 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
396 |
221 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
110 |
65 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
69 |
69 |
$3K |
| 99221 |
|
68 |
65 |
$2K |
| 90962 |
|
24 |
24 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
80 |
80 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
135 |
93 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
44 |
$438.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$282.14 |