| 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 |
4,865 |
3,611 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,506 |
1,190 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
88 |
28 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
94 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$694.56 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$514.88 |
| 90961 |
|
16 |
12 |
$279.61 |