| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,038 |
3,623 |
$118K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,337 |
1,235 |
$46K |
| 99233 |
Prolong inpt eval add15 m |
955 |
236 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,101 |
269 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
71 |
56 |
$5K |
| 90961 |
|
29 |
25 |
$1K |
| 80069 |
|
107 |
102 |
$623.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
114 |
105 |
$568.17 |
| 83735 |
|
67 |
63 |
$318.41 |
| 81003 |
|
92 |
87 |
$173.79 |
| 84550 |
|
48 |
44 |
$130.25 |
| 99454 |
|
65 |
50 |
$0.00 |
| 99457 |
|
28 |
27 |
$0.00 |
| 99458 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
26 |
$0.00 |
| 1111F |
|
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
31 |
26 |
$0.00 |
| 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) |
71 |
63 |
$0.00 |