| 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 |
1,919 |
1,398 |
$151K |
| 99233 |
Prolong inpt eval add15 m |
5,323 |
1,279 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,611 |
1,691 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,889 |
2,062 |
$84K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,956 |
518 |
$24K |
| 90961 |
|
516 |
247 |
$22K |
| 99215 |
Prolong outpt/office vis |
236 |
132 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
109 |
72 |
$5K |
| 90962 |
|
41 |
26 |
$2K |
| 99442 |
|
59 |
56 |
$2K |
| 99205 |
Prolong outpt/office vis |
20 |
13 |
$1K |