| 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 |
13,082 |
11,043 |
$694K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,564 |
9,766 |
$481K |
| 99233 |
Prolong inpt eval add15 m |
6,223 |
2,584 |
$184K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,488 |
1,297 |
$129K |
| 99223 |
Prolong inpt eval add15 m |
2,096 |
1,643 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,259 |
1,070 |
$44K |
| 36902 |
|
509 |
370 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,526 |
1,128 |
$29K |
| 90961 |
|
578 |
491 |
$29K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,367 |
718 |
$21K |
| 81002 |
|
10,688 |
9,268 |
$20K |
| 99490 |
Ccm add 20min |
3,666 |
2,858 |
$10K |
| 93925 |
|
41 |
38 |
$5K |
| 52000 |
|
48 |
43 |
$5K |
| 81001 |
|
1,999 |
1,793 |
$4K |
| 37252 |
|
17 |
14 |
$2K |
| 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) |
554 |
505 |
$2K |
| 81003 |
|
1,757 |
1,485 |
$2K |
| 51798 |
|
388 |
312 |
$2K |
| 99215 |
Prolong outpt/office vis |
46 |
36 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$965.26 |
| 36415 |
Collection of venous blood by venipuncture |
652 |
587 |
$677.12 |
| 99152 |
|
79 |
69 |
$461.16 |
| 76857 |
|
40 |
31 |
$456.01 |
| 80069 |
|
194 |
171 |
$415.52 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
176 |
125 |
$397.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
155 |
140 |
$340.99 |
| 98967 |
|
13 |
12 |
$238.75 |
| 82962 |
|
155 |
126 |
$187.74 |
| 99153 |
Mod sedat endo service >5yrs |
35 |
28 |
$167.30 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24 |
13 |
$160.13 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
62 |
53 |
$139.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$77.41 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
22 |
12 |
$1.30 |