| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,400 |
980 |
$55K |
| 90961 |
|
371 |
361 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
770 |
274 |
$19K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
187 |
183 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
248 |
232 |
$12K |
| 90962 |
|
86 |
84 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
186 |
$9K |
| 36902 |
|
16 |
12 |
$2K |
| 99152 |
|
45 |
31 |
$163.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$13.90 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
50 |
41 |
$4.67 |