| 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 |
688 |
686 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
693 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
417 |
242 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
243 |
98 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
187 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
205 |
133 |
$2K |
| 90961 |
|
25 |
25 |
$843.60 |
| 90947 |
|
12 |
12 |
$410.79 |
| 3079F |
|
34 |
34 |
$0.00 |
| 3074F |
|
49 |
49 |
$0.00 |
| 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) |
28 |
28 |
$0.00 |
| 3078F |
|
16 |
16 |
$0.00 |