| 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 |
5,528 |
5,520 |
$531K |
| 36902 |
|
250 |
237 |
$142K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,731 |
2,444 |
$97K |
| 99233 |
Prolong inpt eval add15 m |
1,004 |
580 |
$27K |
| 75710 |
|
241 |
222 |
$20K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
771 |
405 |
$19K |
| 90961 |
|
169 |
169 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
295 |
287 |
$12K |
| 99215 |
Prolong outpt/office vis |
330 |
325 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
370 |
$9K |
| 99152 |
|
220 |
206 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
55 |
26 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
95 |
93 |
$182.71 |
| 93040 |
|
106 |
91 |
$179.03 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
306 |
286 |
$19.52 |