| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,357 |
5,503 |
$260K |
| 99199 |
Unlisted special service, procedure or report |
17,408 |
10,960 |
$112K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,662 |
918 |
$35K |
| 99223 |
Prolong inpt eval add15 m |
445 |
334 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
592 |
476 |
$20K |
| 90961 |
|
276 |
119 |
$3K |
| 82962 |
|
1,589 |
1,472 |
$863.99 |
| 36415 |
Collection of venous blood by venipuncture |
978 |
919 |
$715.50 |
| 90962 |
|
62 |
24 |
$525.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
223 |
221 |
$466.83 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
23 |
13 |
$419.12 |
| 90756 |
|
93 |
85 |
$346.57 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$0.00 |