| 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 |
6,829 |
6,757 |
$1.09M |
| 99233 |
Prolong inpt eval add15 m |
4,526 |
1,336 |
$209K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,928 |
1,136 |
$199K |
| 90961 |
|
968 |
946 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,153 |
2,079 |
$111K |
| 90962 |
|
841 |
835 |
$106K |
| 99223 |
Prolong inpt eval add15 m |
570 |
535 |
$37K |
| 99443 |
|
191 |
183 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
647 |
635 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
131 |
$4K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
223 |
89 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
33 |
$1K |
| 99454 |
|
12 |
12 |
$786.91 |
| 90970 |
|
75 |
29 |
$143.25 |