| Code | Description | Claims | Bene. Records | Total Paid |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,883 |
1,736 |
$74K |
| 90961 |
|
666 |
540 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
185 |
$11K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
31 |
13 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
15 |
$872.96 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$732.68 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
41 |
20 |
$572.24 |
| 90962 |
|
13 |
12 |
$285.96 |