| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
12,941 |
3,966 |
$433K |
| 99223 |
Prolong inpt eval add15 m |
1,902 |
1,747 |
$118K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
649 |
637 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
946 |
908 |
$36K |
| 99222 |
Initial hospital care, per day, moderate complexity |
360 |
334 |
$18K |
| 90966 |
|
61 |
61 |
$7K |
| 90961 |
|
65 |
65 |
$6K |
| 99215 |
Prolong outpt/office vis |
101 |
94 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
136 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$2K |
| 1036F |
|
13 |
12 |
$0.00 |
| 1160F |
|
21 |
18 |
$0.00 |