| 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 |
6,296 |
6,290 |
$1.28M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,344 |
785 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,006 |
2,952 |
$62K |
| 90961 |
|
111 |
111 |
$18K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
418 |
188 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
168 |
160 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
395 |
85 |
$5K |
| 90966 |
|
50 |
50 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
56 |
43 |
$2K |
| 99254 |
|
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$423.40 |
| 90970 |
|
109 |
23 |
$321.63 |