| 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 |
1,472 |
1,472 |
$434K |
| 99233 |
Prolong inpt eval add15 m |
243 |
81 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
179 |
$10K |
| 90961 |
|
41 |
41 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
63 |
62 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |