| 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 |
4,518 |
3,032 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,330 |
2,282 |
$83K |
| 90961 |
|
938 |
616 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
189 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
158 |
43 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
13 |
$886.40 |
| 99233 |
Prolong inpt eval add15 m |
49 |
12 |
$565.27 |
| 81000 |
|
358 |
331 |
$284.85 |
| 99223 |
Prolong inpt eval add15 m |
25 |
15 |
$213.06 |
| 85018 |
|
16 |
12 |
$2.92 |