| 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 |
1,376 |
1,376 |
$436K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
492 |
164 |
$21K |
| 90961 |
|
15 |
15 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
39 |
22 |
$962.72 |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$596.75 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
14 |
12 |
$560.36 |