| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,238 |
1,120 |
$52K |
| 99233 |
Prolong inpt eval add15 m |
1,667 |
619 |
$45K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,037 |
1,914 |
$43K |
| 99223 |
Prolong inpt eval add15 m |
230 |
212 |
$12K |
| 36902 |
|
39 |
36 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
29 |
26 |
$1K |
| 99152 |
|
325 |
279 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
292 |
259 |
$769.36 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
292 |
250 |
$0.11 |
| 99497 |
|
51 |
42 |
$0.00 |
| 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 |
189 |
170 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
35 |
27 |
$0.00 |