| 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 |
15,686 |
13,095 |
$1.08M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,910 |
6,275 |
$448K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,558 |
7,602 |
$419K |
| 90961 |
|
4,386 |
3,418 |
$202K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
6,837 |
3,226 |
$178K |
| 99233 |
Prolong inpt eval add15 m |
1,790 |
806 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
466 |
386 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
189 |
163 |
$9K |
| 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) |
906 |
868 |
$7K |
| 99215 |
Prolong outpt/office vis |
71 |
69 |
$6K |
| 90962 |
|
138 |
124 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
60 |
$5K |
| 36902 |
|
92 |
87 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
65 |
59 |
$4K |
| 99221 |
|
42 |
39 |
$986.53 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
84 |
62 |
$776.30 |
| 99442 |
|
43 |
39 |
$583.50 |
| 36415 |
Collection of venous blood by venipuncture |
559 |
487 |
$568.02 |
| 80069 |
|
125 |
109 |
$466.13 |
| 99152 |
|
94 |
85 |
$247.62 |
| 83970 |
|
12 |
12 |
$99.08 |
| 90970 |
|
29 |
12 |
$93.73 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$71.04 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
51 |
37 |
$61.04 |
| 85018 |
|
31 |
24 |
$23.96 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
71 |
70 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
18 |
12 |
$0.00 |
| G8915 |
Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc |
71 |
70 |
$0.00 |