| 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 |
13,728 |
13,014 |
$422K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16,035 |
7,150 |
$233K |
| 99233 |
Prolong inpt eval add15 m |
5,817 |
2,843 |
$168K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
9,999 |
4,825 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,681 |
2,490 |
$79K |
| 99223 |
Prolong inpt eval add15 m |
2,720 |
2,525 |
$74K |
| 90961 |
|
2,501 |
2,351 |
$69K |
| 99215 |
Prolong outpt/office vis |
1,454 |
1,382 |
$55K |
| 90937 |
|
1,011 |
531 |
$23K |
| 36902 |
|
83 |
79 |
$4K |
| 90966 |
|
226 |
214 |
$4K |
| 99205 |
Prolong outpt/office vis |
39 |
37 |
$2K |
| 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) |
584 |
522 |
$475.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$426.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
16 |
$332.24 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
682 |
610 |
$1.99 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
43 |
39 |
$0.64 |
| 99152 |
|
30 |
27 |
$0.00 |