| 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 |
2,376 |
2,373 |
$123K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,215 |
975 |
$38K |
| 99222 |
Initial hospital care, per day, moderate complexity |
412 |
395 |
$13K |
| 90961 |
|
51 |
51 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
16 |
12 |
$180.54 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$101.77 |