| 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 |
3,910 |
3,894 |
$302K |
| 99233 |
Prolong inpt eval add15 m |
1,398 |
565 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,649 |
1,605 |
$26K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,102 |
411 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
361 |
347 |
$13K |
| 90961 |
|
132 |
131 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,035 |
996 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
40 |
35 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
149 |
54 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,391 |
1,340 |
$796.98 |
| 4040F |
|
892 |
853 |
$755.26 |
| G8482 |
Influenza immunization administered or previously received |
1,361 |
1,309 |
$705.33 |
| 4004F |
|
646 |
632 |
$427.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
133 |
68 |
$267.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
597 |
318 |
$40.97 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
252 |
124 |
$15.73 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
16 |
$3.32 |