| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,692 |
7,362 |
$316K |
| 95813 |
|
620 |
397 |
$70K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
325 |
267 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
506 |
351 |
$23K |
| 99215 |
Prolong outpt/office vis |
225 |
188 |
$10K |
| 99316 |
|
498 |
453 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
263 |
26 |
$5K |
| 99205 |
Prolong outpt/office vis |
35 |
26 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
12 |
$2K |
| 99423 |
|
89 |
48 |
$220.06 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
51 |
49 |
$151.03 |
| 99401 |
|
14 |
14 |
$76.05 |
| 92588 |
|
89 |
28 |
$0.00 |
| 3075F |
|
32 |
21 |
$0.00 |
| 1036F |
|
23 |
19 |
$0.00 |
| 1126F |
|
32 |
20 |
$0.00 |
| 92650 |
|
25 |
12 |
$0.00 |
| 3008F |
|
35 |
23 |
$0.00 |