| 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 |
759 |
759 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
195 |
$3K |
| 90961 |
|
29 |
29 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
91 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37 |
14 |
$617.46 |
| 1126F |
|
35 |
35 |
$0.00 |
| 1159F |
|
51 |
51 |
$0.00 |
| 1160F |
|
51 |
51 |
$0.00 |