| 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 |
7,236 |
6,896 |
$377K |
| 99233 |
Prolong inpt eval add15 m |
11,315 |
4,839 |
$232K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,878 |
2,541 |
$58K |
| 99223 |
Prolong inpt eval add15 m |
1,484 |
1,369 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,028 |
981 |
$39K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,599 |
674 |
$33K |
| 99222 |
Initial hospital care, per day, moderate complexity |
288 |
256 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
88 |
$2K |
| 90961 |
|
39 |
38 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$847.29 |
| 90966 |
|
26 |
24 |
$591.03 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
15 |
13 |
$23.03 |