| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,396 |
599 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
50 |
$1K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
24 |
24 |
$870.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$294.96 |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$96.14 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
23 |
15 |
$67.44 |