| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,755 |
3,290 |
$62K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,797 |
1,167 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
93 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
85 |
12 |
$1K |
| 99490 |
Ccm add 20min |
351 |
249 |
$903.54 |
| 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) |
821 |
515 |
$848.46 |
| 99223 |
Prolong inpt eval add15 m |
17 |
12 |
$666.80 |
| 99439 |
|
85 |
57 |
$352.71 |
| 3078F |
|
792 |
519 |
$143.31 |
| 3079F |
|
455 |
318 |
$110.00 |
| 3074F |
|
696 |
460 |
$93.30 |
| 3077F |
|
368 |
246 |
$90.00 |
| 3075F |
|
220 |
153 |
$70.00 |
| 1036F |
|
2,237 |
1,496 |
$0.01 |
| 1159F |
|
793 |
489 |
$0.00 |
| 1160F |
|
793 |
489 |
$0.00 |
| 3008F |
|
1,417 |
941 |
$0.00 |
| 1034F |
|
211 |
132 |
$0.00 |