| 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 |
4,600 |
3,238 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,302 |
3,620 |
$69K |
| 99233 |
Prolong inpt eval add15 m |
1,382 |
700 |
$37K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,050 |
861 |
$32K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
69 |
50 |
$6K |
| 80053 |
Comprehensive metabolic panel |
816 |
656 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
915 |
717 |
$5K |
| 99255 |
|
29 |
25 |
$3K |
| 84550 |
|
733 |
582 |
$2K |
| 90961 |
|
69 |
44 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
458 |
379 |
$2K |
| 84100 |
|
733 |
582 |
$2K |
| 83735 |
|
295 |
262 |
$1K |
| 82570 |
|
383 |
304 |
$1K |
| 84156 |
|
382 |
303 |
$900.52 |
| 80061 |
Lipid panel |
87 |
84 |
$747.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
26 |
$493.00 |
| 82550 |
|
99 |
96 |
$480.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
43 |
$252.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$197.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
50 |
$80.00 |
| 36415 |
Collection of venous blood by venipuncture |
930 |
699 |
$43.29 |