| 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 |
11,134 |
11,119 |
$2.84M |
| 99233 |
Prolong inpt eval add15 m |
13,031 |
4,734 |
$857K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,182 |
8,764 |
$639K |
| 99223 |
Prolong inpt eval add15 m |
1,378 |
1,287 |
$190K |
| 90961 |
|
536 |
536 |
$132K |
| 90966 |
|
134 |
134 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
700 |
399 |
$33K |
| 99215 |
Prolong outpt/office vis |
52 |
48 |
$5K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$5K |
| 90970 |
|
190 |
112 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
56 |
$448.00 |