| 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 |
405 |
324 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,317 |
554 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
305 |
228 |
$5K |
| 90961 |
|
14 |
12 |
$459.25 |
| 99233 |
Prolong inpt eval add15 m |
59 |
12 |
$187.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$117.07 |