| 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 |
3,280 |
3,269 |
$392K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,103 |
2,076 |
$150K |
| 99233 |
Prolong inpt eval add15 m |
392 |
128 |
$9K |
| 90961 |
|
97 |
97 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
151 |
149 |
$4K |
| 99454 |
|
259 |
254 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
60 |
56 |
$2K |
| 99457 |
|
300 |
295 |
$812.99 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
98 |
$180.31 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| 99453 |
|
12 |
12 |
$0.00 |