| 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 |
3,387 |
3,159 |
$316K |
| 90961 |
|
3,466 |
3,267 |
$280K |
| 99215 |
Prolong outpt/office vis |
1,872 |
1,698 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,789 |
2,517 |
$94K |
| 90962 |
|
914 |
853 |
$60K |
| 99205 |
Prolong outpt/office vis |
204 |
195 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
577 |
156 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
159 |
132 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
256 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
272 |
197 |
$1K |
| 99442 |
|
32 |
31 |
$763.62 |
| 99447 |
|
15 |
14 |
$68.33 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
33 |
24 |
$14.69 |
| S9999 |
Sales tax |
157 |
142 |
$0.58 |
| 3074F |
|
136 |
96 |
$0.00 |
| 3077F |
|
175 |
133 |
$0.00 |
| 3078F |
|
97 |
73 |
$0.00 |