| 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 |
1,298 |
1,283 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,176 |
2,938 |
$127K |
| 76770 |
|
986 |
978 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,207 |
1,143 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
978 |
967 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
161 |
$10K |
| 93922 |
|
300 |
294 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
617 |
590 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
125 |
124 |
$5K |
| 93925 |
|
71 |
70 |
$4K |
| 95250 |
|
33 |
30 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
179 |
$2K |
| 90962 |
|
27 |
27 |
$2K |
| 99458 |
|
167 |
167 |
$1K |
| 99457 |
|
196 |
196 |
$1K |
| 90682 |
|
26 |
25 |
$894.29 |
| 99454 |
|
92 |
92 |
$742.38 |
| 90746 |
|
13 |
13 |
$707.12 |
| 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) |
293 |
224 |
$705.73 |
| 0124A |
|
22 |
22 |
$640.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,129 |
1,073 |
$511.06 |
| 92552 |
|
13 |
13 |
$131.40 |
| 99441 |
|
15 |
14 |
$39.62 |
| 82962 |
|
14 |
13 |
$13.12 |
| 91312 |
|
21 |
21 |
$0.15 |
| 99072 |
|
491 |
370 |
$0.00 |