| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90966 |
|
1,179 |
1,056 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,322 |
1,206 |
$88K |
| 99233 |
Prolong inpt eval add15 m |
527 |
196 |
$46K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,377 |
3,682 |
$45K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
289 |
249 |
$20K |
| 99307 |
|
475 |
314 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
42 |
39 |
$2K |
| 90961 |
|
15 |
14 |
$968.51 |
| 90682 |
|
16 |
16 |
$937.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$262.74 |