| 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 |
5,866 |
5,866 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,499 |
1,482 |
$10K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
5,663 |
1,530 |
$9K |
| 90961 |
|
2,128 |
2,126 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
640 |
591 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
30 |
30 |
$588.70 |
| 90962 |
|
93 |
93 |
$166.94 |
| 99442 |
|
15 |
15 |
$13.92 |
| 90966 |
|
25 |
25 |
$13.66 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
14 |
$0.00 |
| 81002 |
|
733 |
727 |
$0.00 |