| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,693 |
8,352 |
$312K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,900 |
1,900 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,745 |
1,734 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
754 |
749 |
$54K |
| 99442 |
|
565 |
550 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,244 |
1,037 |
$22K |
| 99487 |
Ccm add 20min |
623 |
621 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,860 |
1,501 |
$8K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
77 |
64 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
388 |
380 |
$5K |
| 99443 |
|
84 |
81 |
$4K |
| 99490 |
Ccm add 20min |
310 |
308 |
$3K |
| 76770 |
|
36 |
36 |
$2K |
| 99426 |
|
118 |
118 |
$2K |
| 90961 |
|
16 |
16 |
$1K |
| 81000 |
|
481 |
476 |
$1K |
| G0420 |
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
94 |
93 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
813 |
788 |
$789.56 |
| 76857 |
|
36 |
36 |
$747.60 |
| G2065 |
Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
12 |
12 |
$183.32 |