| 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 |
3,398 |
3,281 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,741 |
2,615 |
$141K |
| 90961 |
|
1,151 |
1,121 |
$32K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
910 |
446 |
$32K |
| 99233 |
Prolong inpt eval add15 m |
543 |
235 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
76 |
$8K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
134 |
76 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 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) |
242 |
242 |
$387.24 |
| 90962 |
|
21 |
21 |
$365.52 |
| 81000 |
|
13 |
13 |
$3.94 |
| 81001 |
|
13 |
13 |
$0.00 |
| 99152 |
|
27 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
12 |
$0.00 |