| 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 |
14,066 |
14,066 |
$3.32M |
| 90961 |
|
2,633 |
2,631 |
$524K |
| 36902 |
|
475 |
472 |
$295K |
| 90966 |
|
1,194 |
1,192 |
$257K |
| 37252 |
|
139 |
136 |
$112K |
| 75710 |
|
345 |
339 |
$33K |
| 99233 |
Prolong inpt eval add15 m |
602 |
159 |
$22K |
| 37253 |
|
138 |
135 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
195 |
184 |
$10K |
| 99152 |
|
218 |
218 |
$5K |
| 93040 |
|
219 |
218 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
19 |
13 |
$982.55 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
292 |
287 |
$590.11 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
679 |
672 |
$60.83 |