| 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 |
873 |
873 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
523 |
516 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,225 |
588 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
435 |
197 |
$5K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
167 |
102 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$0.00 |