| 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 |
2,797 |
2,796 |
$457K |
| 99215 |
Prolong outpt/office vis |
1,024 |
935 |
$62K |
| 99233 |
Prolong inpt eval add15 m |
1,509 |
536 |
$41K |
| 90961 |
|
209 |
209 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
237 |
$11K |
| 90937 |
|
88 |
40 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
116 |
108 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
137 |
54 |
$3K |
| 90962 |
|
18 |
18 |
$2K |
| 99443 |
|
13 |
12 |
$754.18 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$617.68 |
| 99442 |
|
14 |
13 |
$601.32 |