| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,318 |
2,211 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,129 |
2,033 |
$69K |
| 64493 |
|
189 |
148 |
$15K |
| 99152 |
|
485 |
413 |
$13K |
| 64494 |
|
86 |
63 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$3K |
| 64495 |
|
34 |
26 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
27 |
$1K |
| 80305 |
|
113 |
110 |
$1K |
| 64450 |
|
30 |
12 |
$543.91 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
166 |
151 |
$236.40 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
274 |
234 |
$48.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$12.15 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
13 |
$5.33 |