| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,329 |
2,075 |
$147K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
327 |
324 |
$49K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
164 |
40 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
207 |
199 |
$773.46 |
| 3078F |
|
108 |
105 |
$0.00 |
| 3077F |
|
34 |
32 |
$0.00 |
| 3074F |
|
94 |
91 |
$0.00 |
| 3079F |
|
42 |
41 |
$0.00 |