| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
996 |
945 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,117 |
1,030 |
$61K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
44 |
26 |
$51K |
| 99205 |
Prolong outpt/office vis |
253 |
243 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
215 |
107 |
$10K |
| 64615 |
|
49 |
40 |
$3K |
| 99253 |
|
37 |
33 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$1K |
| 99255 |
|
13 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$748.68 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
12 |
$295.61 |