| 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 |
1,469 |
1,120 |
$49K |
| 90962 |
|
30 |
25 |
$725.21 |
| 90961 |
|
43 |
29 |
$488.07 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
67 |
27 |
$311.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
15 |
$190.47 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
41 |
$99.75 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$94.62 |