| 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 |
10,512 |
9,425 |
$371K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,282 |
4,568 |
$236K |
| 36902 |
|
271 |
239 |
$31K |
| 99222 |
Initial hospital care, per day, moderate complexity |
405 |
364 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
168 |
$5K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
360 |
150 |
$5K |
| 90961 |
|
133 |
116 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
150 |
63 |
$3K |
| 75710 |
|
32 |
30 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
146 |
56 |
$1K |
| 99152 |
|
97 |
92 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
17 |
16 |
$753.12 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$500.89 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
19 |
19 |
$6.61 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
13 |
$4.88 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
34 |
33 |
$0.21 |
| 1123F |
|
103 |
97 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
213 |
204 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
226 |
214 |
$0.00 |