| 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 |
1,030 |
1,029 |
$96K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
162 |
71 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
73 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
31 |
28 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
40 |
21 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
45 |
27 |
$201.35 |
| 3066F |
|
275 |
235 |
$0.00 |
| 0505F |
|
858 |
846 |
$0.00 |
| 0516F |
|
41 |
12 |
$0.00 |