| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
719 |
698 |
$39K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
367 |
367 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217 |
216 |
$6K |
| 90961 |
|
25 |
25 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
25 |
13 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$109.75 |