| Code | Description | Claims | Beneficiaries | Total Paid |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
308 |
252 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
562 |
490 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
591 |
$31K |
| 95886 |
|
505 |
428 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
346 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
343 |
322 |
$12K |
| 95811 |
|
62 |
57 |
$10K |
| 95911 |
|
28 |
26 |
$3K |
| 99199 |
Unlisted special service, procedure or report |
248 |
248 |
$729.06 |
| 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) |
79 |
67 |
$145.76 |