| 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 |
937 |
937 |
$49K |
| 99233 |
Prolong inpt eval add15 m |
608 |
340 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
432 |
206 |
$908.81 |
| 90937 |
|
103 |
43 |
$495.63 |
| 99223 |
Prolong inpt eval add15 m |
109 |
109 |
$141.24 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
19 |
12 |
$83.84 |
| G8482 |
Influenza immunization administered or previously received |
128 |
128 |
$0.00 |