| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
8,986 |
3,190 |
$218K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,888 |
2,837 |
$45K |
| 99223 |
Prolong inpt eval add15 m |
239 |
218 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,201 |
526 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
63 |
54 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
36 |
$687.54 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
55 |
55 |
$0.00 |
| 99152 |
|
15 |
14 |
$0.00 |