| 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 |
10,215 |
9,960 |
$550K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,009 |
12,186 |
$460K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21,547 |
8,343 |
$354K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
1,703 |
862 |
$242K |
| 36902 |
|
552 |
507 |
$102K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,240 |
3,016 |
$99K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
911 |
369 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,695 |
1,512 |
$44K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,049 |
968 |
$36K |
| 90961 |
|
533 |
512 |
$34K |
| 99233 |
Prolong inpt eval add15 m |
807 |
268 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
341 |
319 |
$20K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,213 |
1,314 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,912 |
790 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,083 |
1,466 |
$15K |
| 99442 |
|
780 |
742 |
$9K |
| 99215 |
Prolong outpt/office vis |
159 |
144 |
$9K |
| 99152 |
|
1,182 |
1,080 |
$4K |
| 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) |
644 |
596 |
$2K |
| 90966 |
|
24 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
218 |
216 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,193 |
1,620 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 96409 |
|
14 |
14 |
$792.14 |
| 85018 |
|
947 |
457 |
$775.35 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,797 |
1,599 |
$501.66 |
| 90756 |
|
67 |
64 |
$413.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$394.76 |
| 0013A |
|
18 |
14 |
$280.00 |
| 0003A |
|
16 |
16 |
$160.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
229 |
133 |
$140.69 |
| 99441 |
|
17 |
17 |
$67.55 |
| 90970 |
|
68 |
25 |
$15.36 |
| 91301 |
|
18 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |