| 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 |
1,650 |
1,616 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,159 |
890 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,653 |
1,574 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
515 |
497 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
391 |
387 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
38 |
$2K |
| 1123F |
|
14 |
12 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
15 |
13 |
$0.00 |