| 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 |
1,839 |
1,839 |
$158K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
706 |
351 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
756 |
396 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
96 |
$1K |
| 99221 |
|
45 |
45 |
$175.69 |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
37 |
$125.70 |