| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,421 |
20,875 |
$737K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,719 |
3,704 |
$174K |
| 76770 |
|
3,012 |
2,993 |
$141K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,911 |
1,910 |
$128K |
| 99442 |
|
1,836 |
1,763 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,135 |
1,130 |
$70K |
| 99487 |
Ccm add 20min |
2,225 |
2,224 |
$59K |
| 76857 |
|
3,144 |
3,130 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,644 |
1,366 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,758 |
1,472 |
$8K |
| 99490 |
Ccm add 20min |
905 |
903 |
$8K |
| 81000 |
|
4,636 |
4,621 |
$7K |
| 99426 |
|
371 |
371 |
$7K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
72 |
64 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
439 |
431 |
$6K |
| 90961 |
|
63 |
63 |
$3K |
| 99441 |
|
90 |
77 |
$3K |
| 99443 |
|
99 |
91 |
$2K |
| 99491 |
Ccm add 20min |
76 |
76 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,514 |
1,492 |
$1K |
| 0031A |
|
22 |
22 |
$657.63 |
| G0008 |
Administration of influenza virus vaccine |
268 |
268 |
$617.74 |
| G0420 |
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
181 |
180 |
$510.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$460.57 |
| 90674 |
|
158 |
158 |
$428.52 |
| 90756 |
|
80 |
79 |
$411.48 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
67 |
67 |
$65.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$35.34 |
| 81003 |
|
892 |
885 |
$11.63 |
| 90661 |
|
61 |
61 |
$6.58 |
| 91303 |
|
20 |
20 |
$0.01 |
| 82570 |
|
890 |
884 |
$0.00 |