| 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 |
1,490 |
1,490 |
$199K |
| 90961 |
|
275 |
275 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
427 |
414 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
477 |
472 |
$18K |
| 90962 |
|
78 |
78 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
124 |
54 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
94 |
39 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$842.56 |
| 77080 |
|
12 |
12 |
$533.16 |