| 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 |
5,507 |
5,502 |
$815K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,038 |
1,996 |
$79K |
| 99233 |
Prolong inpt eval add15 m |
889 |
382 |
$24K |
| 90966 |
|
150 |
150 |
$22K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
510 |
181 |
$18K |
| 90961 |
|
64 |
64 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$716.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$662.24 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
13 |
$325.43 |