| 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 |
16,985 |
16,952 |
$1.82M |
| 99233 |
Prolong inpt eval add15 m |
41,481 |
12,701 |
$1.01M |
| 99223 |
Prolong inpt eval add15 m |
9,879 |
9,579 |
$446K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21,312 |
7,378 |
$428K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,140 |
13,921 |
$258K |
| 90966 |
|
1,668 |
1,665 |
$150K |
| 99454 |
|
2,758 |
2,577 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,079 |
2,065 |
$25K |
| 99490 |
Ccm add 20min |
1,587 |
1,587 |
$18K |
| 99457 |
|
2,998 |
2,866 |
$10K |
| 90961 |
|
69 |
69 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
116 |
42 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
286 |
286 |
$6K |
| 99443 |
|
166 |
165 |
$2K |
| 99215 |
Prolong outpt/office vis |
50 |
49 |
$2K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
19 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
40 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
82 |
52 |
$975.99 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$768.02 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
36 |
12 |
$633.60 |
| 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) |
349 |
346 |
$558.49 |
| 99458 |
|
205 |
196 |
$364.23 |
| 99453 |
|
30 |
30 |
$177.87 |
| 99442 |
|
24 |
24 |
$135.61 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
14 |
14 |
$132.96 |