| 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 |
1,882 |
1,881 |
$143K |
| 99457 |
|
4,922 |
4,919 |
$91K |
| 99454 |
|
2,168 |
2,149 |
$54K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,018 |
518 |
$41K |
| 99458 |
|
1,962 |
1,962 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,305 |
1,260 |
$38K |
| 90961 |
|
163 |
159 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
262 |
250 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
129 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$2K |
| 99453 |
|
117 |
117 |
$1K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
79 |
72 |
$343.49 |