| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
435 |
$10K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
210 |
210 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
468 |
138 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
86 |
84 |
$3K |
| 99454 |
|
163 |
158 |
$3K |
| 99215 |
Prolong outpt/office vis |
87 |
85 |
$3K |
| 99458 |
|
116 |
112 |
$1K |
| 99457 |
|
116 |
112 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
57 |
26 |
$825.99 |
| 90961 |
|
14 |
14 |
$648.11 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
27 |
12 |
$338.71 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$6.75 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
91 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$0.00 |