| 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 |
582 |
546 |
$30K |
| 90970 |
|
210 |
108 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
144 |
67 |
$1K |
| 90961 |
|
42 |
40 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
81 |
39 |
$1K |
| 99215 |
Prolong outpt/office vis |
43 |
39 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
24 |
$792.70 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$630.07 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
15 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
15 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |