| 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 |
20,199 |
20,041 |
$438K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,658 |
3,214 |
$103K |
| 99233 |
Prolong inpt eval add15 m |
3,138 |
1,271 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,430 |
3,666 |
$43K |
| 99215 |
Prolong outpt/office vis |
1,232 |
1,012 |
$20K |
| 36902 |
|
1,328 |
1,286 |
$14K |
| 90966 |
|
81 |
81 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
200 |
196 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
261 |
$4K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
241 |
150 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
26 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
388 |
369 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$2K |
| 36905 |
|
103 |
89 |
$2K |
| 90961 |
|
88 |
86 |
$1K |
| 78725 |
|
118 |
118 |
$813.98 |
| 92015 |
Determination of refractive state |
166 |
155 |
$711.64 |
| 77080 |
|
223 |
222 |
$620.18 |
| 99152 |
|
568 |
536 |
$506.60 |
| V2020 |
Frames, purchases |
15 |
14 |
$350.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$260.00 |
| 76775 |
|
122 |
121 |
$215.33 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
14 |
$169.00 |
| 77001 |
|
13 |
12 |
$60.08 |
| 90674 |
|
46 |
46 |
$22.66 |
| 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) |
357 |
322 |
$16.12 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
287 |
279 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
26 |
26 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
26 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
312 |
297 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,307 |
1,803 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
313 |
298 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
12 |
$0.00 |