| 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 |
1,938 |
1,936 |
$117K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,920 |
1,388 |
$58K |
| 99222 |
Initial hospital care, per day, moderate complexity |
626 |
615 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
117 |
105 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
130 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
401 |
236 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
95 |
93 |
$4K |
| 99307 |
|
40 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
36 |
$374.25 |