| Code | Description | Claims | Beneficiaries | Total Paid |
| 90961 |
|
1,522 |
1,513 |
$168K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
174 |
172 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
737 |
730 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
509 |
166 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$464.58 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$127.24 |
| 3074F |
|
12 |
12 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |