| 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 |
389 |
388 |
$6K |
| 90961 |
|
579 |
577 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
437 |
200 |
$4K |
| 90966 |
|
119 |
115 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$624.48 |
| 90962 |
|
12 |
12 |
$139.27 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
23 |
14 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$0.00 |