| 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 |
3,451 |
3,031 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,494 |
1,348 |
$56K |
| 90961 |
|
306 |
262 |
$16K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
141 |
74 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
98 |
52 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$899.95 |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
34 |
24 |
$852.80 |
| 90962 |
|
19 |
19 |
$522.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$102.88 |
| 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) |
45 |
45 |
$95.97 |
| 99199 |
Unlisted special service, procedure or report |
13 |
13 |
$75.00 |
| 96127 |
|
30 |
26 |
$66.34 |