| 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 |
1,158 |
1,158 |
$44K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
296 |
148 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
207 |
75 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
17 |
15 |
$456.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$307.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$257.76 |
| 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) |
25 |
25 |
$34.97 |