| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,207 |
1,100 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
486 |
452 |
$26K |
| 99233 |
Prolong inpt eval add15 m |
671 |
319 |
$25K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
500 |
498 |
$24K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
791 |
429 |
$16K |
| 90945 |
|
73 |
26 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
144 |
79 |
$791.55 |
| 90961 |
|
13 |
13 |
$645.22 |
| 99222 |
Initial hospital care, per day, moderate complexity |
43 |
40 |
$482.45 |