| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90970 |
|
4,730 |
4,236 |
$614K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14,110 |
4,805 |
$301K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
2,175 |
2,173 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,521 |
1,436 |
$50K |
| 90961 |
|
612 |
606 |
$26K |
| 90962 |
|
856 |
849 |
$26K |
| 99222 |
Initial hospital care, per day, moderate complexity |
509 |
484 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
237 |
102 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
661 |
354 |
$8K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
177 |
90 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
19 |
19 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
42 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
24 |
12 |
$3.77 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
24 |
12 |
$3.13 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
76 |
53 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
32 |
31 |
$0.00 |