| 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 |
4,608 |
4,513 |
$372K |
| 99233 |
Prolong inpt eval add15 m |
788 |
416 |
$21K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
842 |
514 |
$17K |
| 90961 |
|
49 |
49 |
$4K |
| 90945 |
|
70 |
26 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
28 |
$2K |
| 99255 |
|
14 |
14 |
$958.10 |
| 99254 |
|
12 |
12 |
$597.60 |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
39 |
$494.43 |