| 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 |
7,378 |
7,349 |
$1.05M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,698 |
4,280 |
$491K |
| 99233 |
Prolong inpt eval add15 m |
9,248 |
3,832 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,051 |
4,023 |
$163K |
| 99223 |
Prolong inpt eval add15 m |
1,503 |
1,380 |
$101K |
| 90961 |
|
445 |
440 |
$58K |
| 99255 |
|
410 |
394 |
$41K |
| 99215 |
Prolong outpt/office vis |
230 |
227 |
$14K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
316 |
165 |
$9K |
| 99205 |
Prolong outpt/office vis |
46 |
46 |
$5K |
| 81000 |
|
18 |
18 |
$51.03 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |