| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,461 |
2,969 |
$432K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,873 |
2,419 |
$199K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,606 |
1,164 |
$163K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
1,005 |
18 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
401 |
139 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
163 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
191 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
69 |
18 |
$2K |
| A0425 |
Ground mileage, per statute mile |
69 |
62 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
162 |
59 |
$2K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
20 |
12 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
78 |
46 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
37 |
34 |
$1K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15 |
15 |
$1K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
21 |
21 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
53 |
51 |
$926.08 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
29 |
$701.55 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
43 |
14 |
$642.53 |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
21 |
$618.74 |
| 90961 |
|
12 |
12 |
$573.66 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
41 |
39 |
$559.63 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
17 |
17 |
$391.06 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
34 |
14 |
$254.46 |
| 99442 |
|
28 |
28 |
$242.97 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$177.56 |
| 99443 |
|
12 |
12 |
$170.80 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
60 |
53 |
$104.65 |