| 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 |
738 |
737 |
$94K |
| 99233 |
Prolong inpt eval add15 m |
2,454 |
606 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,520 |
1,442 |
$42K |
| 99497 |
|
1,511 |
1,268 |
$34K |
| 90961 |
|
111 |
63 |
$16K |
| 99215 |
Prolong outpt/office vis |
373 |
356 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,173 |
948 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
376 |
337 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
746 |
348 |
$11K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
428 |
117 |
$8K |
| 99426 |
|
508 |
494 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
59 |
59 |
$6K |
| 99349 |
|
264 |
264 |
$3K |
| 76770 |
|
51 |
49 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
72 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
104 |
$2K |
| 99336 |
|
19 |
19 |
$831.42 |
| 99305 |
|
19 |
12 |
$623.32 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
52 |
44 |
$407.56 |
| 99310 |
Prolong nursin fac eval 15m |
17 |
16 |
$380.82 |
| 99335 |
|
25 |
25 |
$304.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$225.12 |
| 36415 |
Collection of venous blood by venipuncture |
134 |
131 |
$31.20 |
| 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) |
48 |
48 |
$13.98 |
| 3074F |
|
15 |
15 |
$0.00 |
| 3078F |
|
18 |
18 |
$0.00 |