| 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 |
12,349 |
12,259 |
$422K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15,786 |
4,848 |
$203K |
| 99233 |
Prolong inpt eval add15 m |
8,206 |
2,984 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,358 |
9,677 |
$143K |
| 90937 |
|
1,782 |
884 |
$46K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
5,450 |
2,225 |
$42K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
150 |
103 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
1,075 |
1,049 |
$7K |
| 99255 |
|
40 |
39 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,123 |
1,062 |
$6K |
| 99215 |
Prolong outpt/office vis |
232 |
222 |
$5K |
| 99000 |
|
2,801 |
2,607 |
$5K |
| 82570 |
|
4,252 |
4,054 |
$4K |
| 82044 |
|
2,873 |
2,815 |
$4K |
| 76770 |
|
114 |
114 |
$3K |
| 99254 |
|
25 |
24 |
$3K |
| 85018 |
|
6,020 |
5,235 |
$1K |
| 90674 |
|
82 |
81 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
80 |
$498.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$445.30 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
108 |
101 |
$408.51 |
| 90961 |
|
12 |
12 |
$360.32 |
| 90694 |
|
121 |
120 |
$253.48 |
| 81003 |
|
1,304 |
1,286 |
$253.30 |
| 90661 |
|
15 |
15 |
$234.90 |
| 90756 |
|
35 |
35 |
$21.47 |
| 36415 |
Collection of venous blood by venipuncture |
3,176 |
2,957 |
$3.00 |
| G0008 |
Administration of influenza virus vaccine |
312 |
309 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 90662 |
|
29 |
29 |
$0.00 |
| 90653 |
|
42 |
40 |
$0.00 |