| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,278 |
1,338 |
$141K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
177 |
177 |
$17K |
| 90962 |
|
353 |
353 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
139 |
137 |
$15K |
| 90961 |
|
181 |
181 |
$14K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
240 |
130 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
175 |
$7K |
| 99221 |
|
112 |
109 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
28 |
14 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$928.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$308.85 |