| 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 |
15,177 |
11,646 |
$584K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22,429 |
7,722 |
$429K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,484 |
10,627 |
$416K |
| 36902 |
|
3,551 |
2,603 |
$252K |
| 99233 |
Prolong inpt eval add15 m |
2,270 |
916 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,068 |
2,524 |
$86K |
| 99223 |
Prolong inpt eval add15 m |
1,218 |
988 |
$73K |
| 36907 |
|
904 |
534 |
$23K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
616 |
309 |
$16K |
| 99152 |
|
3,973 |
2,843 |
$16K |
| 90961 |
|
605 |
459 |
$12K |
| 99215 |
Prolong outpt/office vis |
202 |
180 |
$10K |
| 36901 |
|
81 |
77 |
$5K |
| 36215 |
|
85 |
73 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
38 |
$2K |
| 75710 |
|
72 |
60 |
$641.47 |
| 99222 |
Initial hospital care, per day, moderate complexity |
50 |
28 |
$471.95 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,500 |
513 |
$463.58 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
280 |
142 |
$0.00 |