| 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 |
12,962 |
12,363 |
$484K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24,160 |
9,667 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,148 |
9,551 |
$200K |
| 99223 |
Prolong inpt eval add15 m |
3,511 |
3,193 |
$88K |
| 99233 |
Prolong inpt eval add15 m |
2,938 |
1,478 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,275 |
1,194 |
$24K |
| 99215 |
Prolong outpt/office vis |
611 |
573 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
540 |
506 |
$9K |
| 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) |
2,309 |
2,131 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
115 |
58 |
$3K |
| 90961 |
|
72 |
72 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
116 |
67 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
101 |
63 |
$962.99 |
| 99205 |
Prolong outpt/office vis |
31 |
31 |
$810.83 |
| 99457 |
|
364 |
354 |
$634.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$571.90 |
| 99454 |
|
249 |
243 |
$545.13 |
| 99458 |
|
138 |
136 |
$424.27 |
| 99442 |
|
13 |
13 |
$120.13 |