| 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 |
13,495 |
10,359 |
$986K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,895 |
4,129 |
$256K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,768 |
997 |
$73K |
| 99233 |
Prolong inpt eval add15 m |
1,074 |
362 |
$42K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,664 |
723 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
263 |
225 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
224 |
172 |
$15K |
| 90966 |
|
116 |
86 |
$9K |
| 90961 |
|
91 |
76 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
46 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$135.96 |
| 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) |
26 |
25 |
$100.92 |
| 81002 |
|
15 |
12 |
$18.76 |