| 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 |
1,914 |
1,911 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
870 |
853 |
$45K |
| 90961 |
|
270 |
270 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
71 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$926.57 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33 |
12 |
$783.98 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$388.78 |