| 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 |
301 |
301 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
469 |
217 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$365.07 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
99 |
65 |
$128.44 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
25 |
25 |
$0.00 |