| 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 |
25,136 |
25,099 |
$4.06M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18,222 |
10,844 |
$566K |
| 90966 |
|
1,400 |
1,398 |
$240K |
| 90961 |
|
1,202 |
1,200 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,109 |
4,038 |
$152K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
4,036 |
2,933 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,039 |
1,986 |
$55K |
| 99233 |
Prolong inpt eval add15 m |
568 |
346 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
401 |
397 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
172 |
143 |
$7K |
| 99215 |
Prolong outpt/office vis |
112 |
110 |
$6K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
256 |
143 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
954 |
661 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
48 |
39 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$206.70 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$112.26 |
| 80069 |
|
13 |
13 |
$7.75 |
| 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) |
24 |
24 |
$7.28 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |