| 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 |
14,216 |
12,642 |
$1.14M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30,056 |
9,485 |
$925K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,335 |
9,229 |
$416K |
| 99223 |
Prolong inpt eval add15 m |
3,543 |
3,206 |
$224K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
11,388 |
4,262 |
$188K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,597 |
3,951 |
$174K |
| 90961 |
|
2,123 |
1,907 |
$126K |
| 99215 |
Prolong outpt/office vis |
2,215 |
2,009 |
$97K |
| 99233 |
Prolong inpt eval add15 m |
2,610 |
1,352 |
$84K |
| 90966 |
|
1,451 |
1,239 |
$61K |
| 99205 |
Prolong outpt/office vis |
717 |
640 |
$41K |
| 36902 |
|
448 |
401 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,238 |
821 |
$22K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
519 |
512 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
540 |
407 |
$9K |
| 82570 |
|
883 |
790 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
289 |
$7K |
| 36581 |
|
221 |
183 |
$7K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
561 |
437 |
$6K |
| 99152 |
|
1,220 |
1,046 |
$4K |
| 99255 |
|
19 |
15 |
$2K |
| 81003 |
|
775 |
684 |
$2K |
| 99254 |
|
16 |
15 |
$2K |
| 90962 |
|
16 |
16 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
53 |
$1K |
| 99442 |
|
36 |
36 |
$751.88 |
| G0008 |
Administration of influenza virus vaccine |
95 |
67 |
$691.42 |
| 99348 |
|
14 |
13 |
$175.76 |
| 81001 |
|
25 |
25 |
$45.78 |
| 90662 |
|
38 |
36 |
$43.35 |
| 90945 |
|
75 |
15 |
$30.62 |
| 36596 |
|
56 |
39 |
$-154.79 |
| 99153 |
Mod sedat endo service >5yrs |
1,141 |
982 |
$-305.29 |