| 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 |
60,679 |
45,409 |
$2.32M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,500 |
4,853 |
$358K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,293 |
6,769 |
$256K |
| 36902 |
|
2,044 |
1,299 |
$221K |
| 90961 |
|
4,339 |
3,373 |
$141K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
7,915 |
4,053 |
$129K |
| 37252 |
|
429 |
246 |
$55K |
| 99215 |
Prolong outpt/office vis |
1,276 |
983 |
$47K |
| 36901 |
|
354 |
219 |
$23K |
| 90966 |
|
935 |
708 |
$21K |
| 99152 |
|
3,140 |
1,855 |
$17K |
| 80069 |
|
2,505 |
1,804 |
$16K |
| 80197 |
|
1,319 |
944 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,836 |
1,308 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
264 |
91 |
$10K |
| 37253 |
|
396 |
226 |
$10K |
| 36215 |
|
125 |
81 |
$8K |
| 99254 |
|
113 |
85 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,117 |
2,327 |
$6K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
100 |
61 |
$5K |
| 36905 |
|
19 |
12 |
$4K |
| 83970 |
|
102 |
89 |
$3K |
| 75710 |
|
138 |
87 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,126 |
1,979 |
$2K |
| 99255 |
|
16 |
12 |
$2K |
| 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) |
983 |
820 |
$1K |
| 82570 |
|
297 |
235 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
68 |
66 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
24 |
$564.95 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$517.14 |
| 77001 |
|
46 |
27 |
$511.49 |
| 84156 |
|
163 |
142 |
$488.16 |
| 99442 |
|
44 |
30 |
$461.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
37 |
$286.20 |
| 82043 |
|
42 |
38 |
$261.85 |
| 85018 |
|
219 |
170 |
$174.53 |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$173.87 |
| 85027 |
|
29 |
24 |
$151.92 |
| 81003 |
|
262 |
224 |
$150.81 |
| 90962 |
|
27 |
24 |
$138.94 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
16 |
13 |
$127.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$108.64 |
| 90686 |
|
25 |
17 |
$108.54 |
| 81001 |
|
19 |
12 |
$28.19 |