| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
5,589 |
1,628 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,447 |
2,006 |
$104K |
| 99222 |
Initial hospital care, per day, moderate complexity |
103 |
92 |
$4K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
13 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
31 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
28 |
25 |
$871.36 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
106 |
61 |
$745.20 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
125 |
$219.65 |
| 99072 |
|
12 |
12 |
$75.00 |
| 1036F |
|
19 |
12 |
$0.00 |