| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,097 |
7,791 |
$521K |
| 95816 |
|
1,411 |
1,080 |
$128K |
| 99223 |
Prolong inpt eval add15 m |
1,184 |
921 |
$85K |
| 99205 |
Prolong outpt/office vis |
929 |
720 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,963 |
1,357 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
585 |
436 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,568 |
1,765 |
$37K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,229 |
894 |
$33K |
| 99233 |
Prolong inpt eval add15 m |
812 |
393 |
$28K |
| 99215 |
Prolong outpt/office vis |
194 |
151 |
$16K |
| 99220 |
|
48 |
40 |
$3K |
| 95886 |
|
53 |
40 |
$3K |
| 70496 |
|
16 |
13 |
$624.86 |
| 70498 |
|
15 |
12 |
$544.50 |
| 95885 |
|
13 |
12 |
$465.69 |
| 99072 |
|
49 |
42 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |