| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
826 |
333 |
$33K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
308 |
289 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
594 |
256 |
$26K |
| 99221 |
|
145 |
126 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
89 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
65 |
26 |
$7K |
| 90945 |
|
54 |
13 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
55 |
53 |
$3K |
| 90961 |
|
14 |
13 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$1K |