| 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 |
5,728 |
5,698 |
$720K |
| 99233 |
Prolong inpt eval add15 m |
11,307 |
3,727 |
$300K |
| 90961 |
|
1,552 |
1,547 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,255 |
3,223 |
$62K |
| 99223 |
Prolong inpt eval add15 m |
1,229 |
1,182 |
$58K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,340 |
548 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,931 |
1,900 |
$23K |
| 90962 |
|
178 |
177 |
$13K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
249 |
133 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
39 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$489.87 |
| 99243 |
|
12 |
12 |
$445.66 |
| 99443 |
|
14 |
14 |
$113.33 |