| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,638 |
2,305 |
$90K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
4,718 |
3,062 |
$49K |
| 99233 |
Prolong inpt eval add15 m |
646 |
300 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
677 |
210 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
1,128 |
1,079 |
$2K |
| 90966 |
|
83 |
48 |
$701.46 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |