| Code | Description | Claims | Beneficiaries | Total Paid |
| 90962 |
|
576 |
558 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
220 |
92 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
499 |
256 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
234 |
$2K |
| 90961 |
|
105 |
104 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
28 |
15 |
$733.56 |
| 99222 |
Initial hospital care, per day, moderate complexity |
32 |
29 |
$712.07 |