| Code | Description | Claims | Beneficiaries | Total Paid |
| 99444 |
|
6,294 |
1,557 |
$354K |
| 99423 |
|
2,100 |
569 |
$117K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,069 |
3,059 |
$26K |
| 99215 |
Prolong outpt/office vis |
1,734 |
1,670 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
3,619 |
992 |
$11K |
| 90961 |
|
1,671 |
1,661 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,546 |
634 |
$8K |
| 99422 |
|
333 |
182 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
512 |
$6K |
| 99350 |
Prolong home eval add 15m |
432 |
141 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
61 |
60 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
152 |
137 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
200 |
73 |
$2K |
| 99091 |
|
175 |
174 |
$2K |
| 95250 |
|
119 |
119 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
23 |
$1K |
| 99349 |
|
106 |
87 |
$841.26 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
819 |
345 |
$741.89 |
| 95251 |
|
95 |
94 |
$563.54 |
| 95943 |
|
54 |
54 |
$410.94 |
| 93922 |
|
105 |
105 |
$404.82 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85 |
28 |
$224.14 |
| 99306 |
Prolong nursin fac eval 15m |
19 |
19 |
$145.54 |
| 99442 |
|
177 |
169 |
$63.76 |
| 99490 |
Ccm add 20min |
108 |
107 |
$40.71 |
| 99454 |
|
13 |
13 |
$0.00 |
| 99458 |
|
37 |
37 |
$0.00 |
| 99457 |
|
37 |
37 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
204 |
55 |
$0.00 |