| 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 |
7,175 |
7,086 |
$736K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16,195 |
4,950 |
$575K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
9,766 |
2,867 |
$288K |
| 90961 |
|
3,101 |
3,059 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,715 |
4,483 |
$227K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,759 |
2,631 |
$159K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,227 |
3,488 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,839 |
3,777 |
$130K |
| 99223 |
Prolong inpt eval add15 m |
1,041 |
1,021 |
$94K |
| 99254 |
|
826 |
785 |
$74K |
| 99233 |
Prolong inpt eval add15 m |
1,253 |
697 |
$70K |
| 90966 |
|
453 |
452 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
298 |
$23K |
| 99221 |
|
567 |
525 |
$20K |
| 90945 |
|
453 |
84 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
203 |
$10K |
| 99255 |
|
56 |
53 |
$6K |
| 90962 |
|
85 |
85 |
$5K |
| 81003 |
|
2,289 |
2,266 |
$3K |
| 99253 |
|
44 |
40 |
$2K |
| 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) |
61 |
61 |
$105.51 |
| 0513F |
|
423 |
418 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
353 |
349 |
$0.00 |
| 99072 |
|
17 |
17 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
21 |
21 |
$0.00 |