| 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 |
4,662 |
4,617 |
$118K |
| 99233 |
Prolong inpt eval add15 m |
1,737 |
841 |
$54K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,618 |
811 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
24 |
24 |
$1K |
| 90961 |
|
36 |
36 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$234.42 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
23 |
12 |
$0.00 |