| 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 |
23,769 |
23,718 |
$2.93M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
90,977 |
27,055 |
$1.95M |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,512 |
6,204 |
$309K |
| 90961 |
|
2,513 |
2,494 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,879 |
3,757 |
$106K |
| 99223 |
Prolong inpt eval add15 m |
1,125 |
1,100 |
$50K |
| 99233 |
Prolong inpt eval add15 m |
1,171 |
486 |
$35K |
| 90962 |
|
56 |
56 |
$4K |
| 90966 |
|
12 |
12 |
$927.77 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
63 |
$864.62 |
| 99254 |
|
14 |
14 |
$819.14 |
| 0003A |
|
16 |
15 |
$480.00 |
| 0013A |
|
16 |
12 |
$445.09 |
| 99490 |
Ccm add 20min |
62 |
62 |
$229.54 |
| 99439 |
|
25 |
25 |
$0.00 |