| 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 |
2,073 |
2,073 |
$382K |
| 99233 |
Prolong inpt eval add15 m |
7,285 |
1,270 |
$44K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,465 |
325 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,384 |
1,285 |
$16K |
| 90961 |
|
142 |
142 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
972 |
908 |
$10K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
486 |
242 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
228 |
75 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$559.46 |