| 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 |
166 |
166 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49 |
12 |
$2K |
| 90961 |
|
12 |
12 |
$2K |
| 90962 |
|
13 |
13 |
$869.24 |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$747.33 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$499.77 |
| 99233 |
Prolong inpt eval add15 m |
17 |
14 |
$427.31 |