| 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 |
403 |
403 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
76 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
184 |
104 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
49 |
26 |
$709.05 |
| 90961 |
|
32 |
31 |
$570.04 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
52 |
26 |
$546.70 |