| 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 |
2,402 |
2,382 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,578 |
1,540 |
$80K |
| 90961 |
|
808 |
795 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,086 |
342 |
$42K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
397 |
138 |
$14K |
| 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) |
160 |
158 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
88 |
28 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
27 |
26 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
171 |
151 |
$1K |