| 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 |
91 |
90 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,729 |
2,529 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
266 |
264 |
$4K |
| 1111F |
|
529 |
458 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
54 |
54 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
109 |
$247.83 |
| 90688 |
|
15 |
15 |
$33.00 |
| 99000 |
|
195 |
193 |
$3.59 |
| 36415 |
Collection of venous blood by venipuncture |
218 |
217 |
$1.50 |
| 1159F |
|
180 |
158 |
$0.00 |
| 1158F |
|
157 |
137 |
$0.00 |
| 0521F |
|
224 |
197 |
$0.00 |
| 1160F |
|
247 |
212 |
$0.00 |
| 3078F |
|
85 |
77 |
$0.00 |
| 1170F |
|
241 |
212 |
$0.00 |
| 3074F |
|
70 |
63 |
$0.00 |
| 3008F |
|
14 |
13 |
$0.00 |