| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,645 |
1,944 |
$238K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
184 |
180 |
$13K |
| 90961 |
|
110 |
106 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
193 |
71 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
128 |
118 |
$6K |
| 90962 |
|
55 |
46 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
72 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
16 |
16 |
$1K |
| 99221 |
|
55 |
54 |
$992.42 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
28 |
12 |
$429.00 |