| 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 |
880 |
880 |
$48K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
757 |
337 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
961 |
433 |
$9K |
| 99221 |
|
173 |
168 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
94 |
93 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
63 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
26 |
$883.41 |
| 90961 |
|
15 |
15 |
$629.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$535.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$247.43 |
| 99429 |
|
46 |
44 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
139 |
139 |
$0.00 |