| 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 |
1,320 |
1,320 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
85 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
112 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$266.07 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
12 |
$113.54 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
170 |
169 |
$0.00 |
| 90961 |
|
20 |
20 |
$0.00 |