| 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 |
4,033 |
3,030 |
$96K |
| 99233 |
Prolong inpt eval add15 m |
4,676 |
1,173 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,804 |
2,675 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
1,949 |
1,329 |
$51K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,125 |
1,036 |
$36K |
| 90961 |
|
922 |
677 |
$23K |
| 90966 |
|
1,018 |
723 |
$20K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,472 |
533 |
$15K |
| 99490 |
Ccm add 20min |
1,704 |
1,376 |
$15K |
| 99215 |
Prolong outpt/office vis |
488 |
333 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
374 |
246 |
$8K |
| 90962 |
|
296 |
237 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
215 |
174 |
$5K |
| 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) |
1,750 |
1,207 |
$3K |
| 99439 |
|
256 |
176 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,574 |
2,083 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
137 |
$2K |
| 99487 |
Ccm add 20min |
140 |
104 |
$1K |
| 99205 |
Prolong outpt/office vis |
22 |
15 |
$518.71 |
| 3078F |
|
735 |
552 |
$354.00 |
| 99457 |
|
15 |
13 |
$338.74 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14 |
13 |
$223.23 |
| 3074F |
|
524 |
392 |
$208.00 |
| 3077F |
|
566 |
429 |
$203.53 |
| 3079F |
|
175 |
125 |
$70.00 |
| 3080F |
|
96 |
70 |
$50.00 |
| 3008F |
|
2,844 |
2,232 |
$6.00 |
| 1159F |
|
2,391 |
1,769 |
$0.02 |
| 1160F |
|
1,841 |
1,366 |
$0.01 |
| 1126F |
|
15 |
13 |
$0.00 |
| 1026F |
|
67 |
56 |
$0.00 |