| 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 |
1,855 |
1,854 |
$8K |
| 90937 |
|
689 |
392 |
$6K |
| 90961 |
|
1,097 |
1,096 |
$6K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
606 |
228 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
102 |
$989.11 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
147 |
$642.10 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$117.74 |
| 99233 |
Prolong inpt eval add15 m |
16 |
12 |
$0.00 |