| 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 |
9,172 |
7,934 |
$597K |
| 99233 |
Prolong inpt eval add15 m |
16,284 |
6,873 |
$437K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,061 |
7,241 |
$262K |
| 36902 |
|
575 |
504 |
$151K |
| 90966 |
|
1,437 |
1,183 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
812 |
$36K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,149 |
605 |
$34K |
| 90961 |
|
174 |
144 |
$8K |
| 99152 |
|
513 |
442 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
239 |
205 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
94 |
77 |
$4K |
| 36907 |
|
12 |
12 |
$3K |
| 36215 |
|
13 |
13 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
87 |
69 |
$2K |
| 99215 |
Prolong outpt/office vis |
31 |
26 |
$2K |
| 75710 |
|
12 |
12 |
$756.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
103 |
52 |
$130.28 |
| 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) |
348 |
287 |
$68.10 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
12 |
$56.39 |
| 82570 |
|
14 |
13 |
$33.99 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
130 |
102 |
$10.20 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 3017F |
|
14 |
13 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
358 |
316 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
143 |
127 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |