| 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 |
7,638 |
7,572 |
$213K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,930 |
1,708 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,644 |
1,606 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
1,795 |
626 |
$21K |
| 90961 |
|
765 |
761 |
$21K |
| 99223 |
Prolong inpt eval add15 m |
244 |
236 |
$7K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
262 |
120 |
$2K |
| 99443 |
|
12 |
12 |
$815.57 |
| 90962 |
|
13 |
13 |
$230.93 |
| 99152 |
|
28 |
28 |
$54.46 |
| 80069 |
|
31 |
28 |
$14.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
93 |
78 |
$12.09 |
| 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) |
16 |
16 |
$12.02 |
| 82570 |
|
77 |
64 |
$10.74 |
| 84156 |
|
77 |
64 |
$7.62 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
211 |
205 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
219 |
205 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
24 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
107 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$0.00 |