| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,501 |
752 |
$30K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
676 |
640 |
$30K |
| 90961 |
|
132 |
122 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
109 |
98 |
$4K |
| 90962 |
|
29 |
19 |
$4K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
130 |
58 |
$3K |
| 90970 |
|
358 |
33 |
$507.32 |
| 90937 |
|
31 |
14 |
$308.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
39 |
$154.07 |
| 99222 |
Initial hospital care, per day, moderate complexity |
17 |
17 |
$102.80 |