| 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 |
5,557 |
5,373 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,879 |
2,583 |
$84K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
635 |
330 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
240 |
120 |
$7K |
| 90961 |
|
85 |
84 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
62 |
$1K |
| 36902 |
|
35 |
12 |
$821.88 |
| 99152 |
|
40 |
38 |
$170.87 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
228 |
214 |
$124.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
24 |
$63.59 |
| 99153 |
Mod sedat endo service >5yrs |
26 |
25 |
$28.38 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
83 |
79 |
$11.89 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
79 |
77 |
$2.19 |
| 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) |
405 |
387 |
$0.00 |