| 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 |
2,967 |
2,965 |
$353K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,408 |
1,831 |
$249K |
| 99223 |
Prolong inpt eval add15 m |
1,796 |
1,705 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,820 |
2,798 |
$169K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
830 |
245 |
$33K |
| 90961 |
|
295 |
295 |
$31K |
| 99233 |
Prolong inpt eval add15 m |
401 |
234 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
288 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
95 |
90 |
$7K |
| 99215 |
Prolong outpt/office vis |
62 |
61 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 90966 |
|
29 |
29 |
$3K |
| 99205 |
Prolong outpt/office vis |
29 |
28 |
$3K |
| 99152 |
|
223 |
208 |
$1K |
| 99496 |
|
13 |
13 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
556 |
256 |
$518.62 |
| 90970 |
|
124 |
15 |
$449.08 |
| 99490 |
Ccm add 20min |
25 |
25 |
$385.26 |
| 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) |
89 |
89 |
$326.17 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
29 |
25 |
$0.24 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
112 |
100 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
416 |
381 |
$0.00 |