| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90961 |
|
3,661 |
3,653 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,250 |
2,230 |
$47K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,442 |
553 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
885 |
879 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
215 |
$12K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
193 |
96 |
$7K |
| 90962 |
|
28 |
28 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$744.93 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
24 |
24 |
$253.87 |
| 99457 |
|
25 |
25 |
$3.88 |
| 99442 |
|
14 |
13 |
$0.00 |