| 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 |
35,465 |
31,658 |
$770K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32,259 |
17,837 |
$596K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,900 |
15,458 |
$457K |
| 99233 |
Prolong inpt eval add15 m |
5,457 |
3,097 |
$199K |
| 90966 |
|
2,945 |
2,283 |
$57K |
| 90961 |
|
3,445 |
3,111 |
$53K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,534 |
2,022 |
$36K |
| 80069 |
|
2,615 |
2,421 |
$12K |
| 76770 |
|
218 |
205 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
584 |
411 |
$7K |
| 85027 |
|
2,024 |
1,870 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
116 |
$5K |
| 81001 |
|
1,122 |
1,052 |
$2K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
68 |
60 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
53 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 83970 |
|
40 |
38 |
$881.87 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$746.16 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
24 |
$548.04 |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
37 |
$170.70 |
| 81003 |
|
128 |
118 |
$150.08 |
| 99223 |
Prolong inpt eval add15 m |
50 |
49 |
$125.54 |
| 82728 |
|
26 |
25 |
$108.40 |
| 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) |
232 |
223 |
$103.15 |
| 36415 |
Collection of venous blood by venipuncture |
173 |
160 |
$65.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
13 |
$49.44 |
| 83540 |
|
26 |
25 |
$42.72 |
| 83550 |
|
13 |
13 |
$34.84 |
| 90962 |
|
13 |
13 |
$0.00 |