| 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 |
8,530 |
6,043 |
$375K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
233 |
104 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
16 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
63 |
24 |
$678.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$293.11 |
| 99223 |
Prolong inpt eval add15 m |
17 |
12 |
$283.80 |
| 90961 |
|
26 |
15 |
$282.65 |