| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,435 |
1,332 |
$35K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,060 |
1,060 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
509 |
468 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
275 |
101 |
$923.39 |
| 36415 |
Collection of venous blood by venipuncture |
275 |
225 |
$186.04 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
25 |
12 |
$101.16 |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
26 |
$93.99 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
86 |
73 |
$36.66 |
| 81000 |
|
12 |
12 |
$7.48 |
| 80069 |
|
25 |
24 |
$0.00 |
| 82043 |
|
55 |
55 |
$0.00 |
| 83735 |
|
66 |
60 |
$0.00 |
| 84156 |
|
54 |
54 |
$0.00 |
| 82570 |
|
55 |
55 |
$0.00 |