| 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 |
1,945 |
1,942 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,825 |
3,629 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
381 |
380 |
$17K |
| 99487 |
Ccm add 20min |
496 |
496 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
637 |
453 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,029 |
713 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
63 |
$3K |
| 99442 |
|
69 |
68 |
$1K |
| 99490 |
Ccm add 20min |
75 |
75 |
$908.58 |
| 90961 |
|
12 |
12 |
$784.16 |
| 76770 |
|
25 |
25 |
$598.79 |
| 99443 |
|
16 |
16 |
$323.72 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$191.74 |
| 90674 |
|
33 |
33 |
$183.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$170.43 |
| 76857 |
|
14 |
14 |
$127.33 |
| 81000 |
|
524 |
523 |
$81.13 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
49 |
$14.98 |
| 90661 |
|
12 |
12 |
$0.00 |