| 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 |
1,824 |
1,794 |
$203K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,354 |
590 |
$38K |
| 99233 |
Prolong inpt eval add15 m |
323 |
170 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240 |
228 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$1K |
| 90970 |
|
23 |
13 |
$683.40 |
| 90674 |
|
47 |
47 |
$28.51 |
| 3008F |
|
425 |
383 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$0.00 |
| 3074F |
|
363 |
329 |
$0.00 |
| 3075F |
|
17 |
14 |
$0.00 |
| 3079F |
|
78 |
74 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
36 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 1159F |
|
434 |
405 |
$0.00 |
| 3078F |
|
383 |
342 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
335 |
303 |
$0.00 |
| 1160F |
|
436 |
406 |
$0.00 |
| 3077F |
|
39 |
37 |
$0.00 |