| 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 |
4,113 |
4,103 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,581 |
1,487 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,162 |
5,117 |
$17K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,823 |
669 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
584 |
571 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
702 |
304 |
$5K |
| 90961 |
|
764 |
764 |
$3K |
| 90966 |
|
217 |
217 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
401 |
387 |
$1K |
| 90962 |
|
216 |
216 |
$529.34 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
94 |
$469.16 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
394 |
392 |
$0.00 |
| 4040F |
|
88 |
88 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
206 |
204 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
208 |
208 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
218 |
217 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
25 |
24 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
44 |
44 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
234 |
233 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
355 |
354 |
$0.00 |
| 1123F |
|
301 |
300 |
$0.00 |
| 0513F |
|
12 |
12 |
$0.00 |