| Code | Description | Claims | Bene. Records | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,158 |
1,614 |
$64K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,738 |
2,184 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,180 |
910 |
$18K |
| 90961 |
|
971 |
819 |
$14K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
603 |
239 |
$6K |
| 36902 |
|
30 |
15 |
$376.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
15 |
$277.60 |
| 99152 |
|
117 |
67 |
$272.22 |
| 99221 |
|
18 |
14 |
$243.30 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
66 |
30 |
$1.34 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
68 |
31 |
$0.30 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
62 |
30 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
62 |
30 |
$0.00 |