| 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 |
2,522 |
2,145 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,093 |
2,486 |
$103K |
| 90961 |
|
1,068 |
906 |
$80K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,038 |
921 |
$54K |
| 99223 |
Prolong inpt eval add15 m |
367 |
283 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
371 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
366 |
156 |
$10K |
| 90674 |
|
35 |
32 |
$423.34 |
| 36415 |
Collection of venous blood by venipuncture |
495 |
350 |
$314.72 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$51.15 |
| 99072 |
|
93 |
85 |
$30.00 |