| 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 |
3,344 |
3,090 |
$70K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,146 |
572 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
305 |
286 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
106 |
96 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
156 |
$2K |
| 90961 |
|
71 |
69 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
21 |
21 |
$47.50 |
| 90966 |
|
13 |
13 |
$0.00 |
| 90970 |
|
28 |
13 |
$0.00 |