| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90961 |
|
1,655 |
1,618 |
$162K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,300 |
1,274 |
$131K |
| 90962 |
|
1,481 |
1,454 |
$99K |
| 99233 |
Prolong inpt eval add15 m |
3,522 |
1,214 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,763 |
3,728 |
$79K |
| 99223 |
Prolong inpt eval add15 m |
1,552 |
1,424 |
$64K |
| 99215 |
Prolong outpt/office vis |
239 |
237 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58 |
36 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$578.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$545.92 |