| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,813 |
3,361 |
$79K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
209 |
185 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
332 |
288 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
36 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
599 |
517 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
21 |
17 |
$928.55 |
| 81003 |
|
130 |
112 |
$47.75 |
| 81001 |
|
13 |
13 |
$9.98 |