| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,967 |
235 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
671 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
161 |
114 |
$35K |
| 83540 |
|
126 |
89 |
$27K |
| 80069 |
|
171 |
124 |
$26K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
119 |
109 |
$19K |
| 83550 |
|
83 |
52 |
$18K |
| 85018 |
|
87 |
12 |
$16K |
| 84520 |
|
90 |
37 |
$13K |
| 83970 |
|
56 |
37 |
$12K |
| 82728 |
|
52 |
36 |
$12K |
| 87340 |
|
45 |
25 |
$10K |
| 84155 |
|
39 |
24 |
$10K |
| 84075 |
|
28 |
13 |
$6K |
| 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) |
65 |
61 |
$548.96 |
| 1036F |
|
81 |
75 |
$0.08 |