| 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 |
2,228 |
2,215 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,893 |
2,834 |
$90K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,162 |
978 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
404 |
393 |
$17K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
418 |
183 |
$7K |
| 90961 |
|
51 |
50 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$920.33 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$911.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
57 |
$904.70 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$421.40 |
| 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) |
77 |
77 |
$231.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
40 |
$135.07 |
| 3078F |
|
260 |
255 |
$17.50 |
| 90656 |
|
38 |
38 |
$10.66 |
| 3074F |
|
85 |
84 |
$0.00 |