| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
9,136 |
7,559 |
$827K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,104 |
8,461 |
$652K |
| 99205 |
Prolong outpt/office vis |
1,178 |
983 |
$146K |
| 01936 |
|
576 |
464 |
$114K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,693 |
766 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
959 |
789 |
$45K |
| 76942 |
|
801 |
592 |
$39K |
| 99401 |
|
1,022 |
905 |
$31K |
| 99417 |
Prolong home eval add 15m |
109 |
82 |
$18K |
| 80305 |
|
1,855 |
1,688 |
$15K |
| 64635 |
|
33 |
28 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
391 |
183 |
$10K |
| 62323 |
|
128 |
118 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
78 |
$10K |
| Q3014 |
Telehealth originating site facility fee |
388 |
353 |
$7K |
| 99442 |
|
306 |
256 |
$5K |
| 01938 |
|
32 |
28 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
91 |
70 |
$4K |
| 99443 |
|
251 |
155 |
$3K |
| 20552 |
|
85 |
66 |
$3K |
| 64493 |
|
36 |
24 |
$3K |
| 64636 |
|
33 |
28 |
$2K |
| 97162 |
|
26 |
26 |
$1K |
| 64494 |
|
34 |
24 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
27 |
24 |
$1K |
| 20553 |
|
30 |
25 |
$860.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
66 |
$843.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$835.54 |
| 99497 |
|
12 |
12 |
$806.64 |
| 97161 |
|
13 |
12 |
$340.53 |
| 99408 |
|
12 |
12 |
$213.01 |
| 96127 |
|
35 |
30 |
$193.66 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
34 |
32 |
$128.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
79 |
69 |
$36.82 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
13 |
$0.36 |
| J3490 |
Unclassified drugs |
54 |
41 |
$0.00 |