| 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 |
2,191 |
2,187 |
$255K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
631 |
270 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
591 |
337 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
126 |
119 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$110.47 |