| 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 |
2,229 |
2,211 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,909 |
2,825 |
$34K |
| 99215 |
Prolong outpt/office vis |
1,652 |
1,597 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
1,135 |
342 |
$8K |
| 90961 |
|
2,220 |
2,218 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
324 |
137 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
104 |
99 |
$706.44 |
| 90962 |
|
721 |
721 |
$264.94 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
434 |
117 |
$178.28 |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
265 |
124 |
$39.99 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
113 |
110 |
$0.00 |
| 3017F |
|
96 |
95 |
$0.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
16 |
12 |
$0.00 |
| 4040F |
|
88 |
83 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
389 |
372 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
61 |
58 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
22 |
21 |
$0.00 |