| 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 |
1,396 |
1,393 |
$239K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,622 |
1,511 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
119 |
113 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,312 |
1,245 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
48 |
41 |
$716.28 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58 |
25 |
$0.00 |